{"reporting_entity_name": "John Hopkins Health Plans","reporting_entity_type": "Commercial","last_updated_on": "2026-09-22","version": "2.0","provider_references": [                                                                                                                                                                   
{"provider_group_id":1483438413,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003040791,1003214412,1013070788,1023251238,1023351103,1023486800,1033346572,1053104745,1053125443,1053590125,1063133809,1063646735,1063705077,1073512257,1093039604,1093136046,1104331529,1104703081,1114062056,1114635646,1124146915,1134292576,1134602634,1134882749,1144236811,1144653080,1154216513,1164892246,1174953079,1184116329,1184210619,1194446302,1205661733,1205855475,1215341367,1225162795,1235247388,1245425784,1275295826,1275710493,1285102558,1306225859,1326415647,1336571801,1346769346,1346954963,1356401780,1366802506,1386076495,1386159895,1386784056,1417066408,1417333816,1427168137,1427349182,1437657939,1437987765,1467755926,1477318350,1477876761,1487615027,1508468885,1508906264,1518557362,1528168481,1538761481,1548829849,1548858970,1578201380,1578427241,1578664256,1578995551,1588063127,1588069397,1588741581,1598195513,1598198749,1609467521,1619198579,1629185533,1639617087,1639855075,1649582321,1649599846,1659844645,1669805552,1679356950,1689689333,1699074179,1700214616,1720656960,1730213588,1740057090,1750391009,1770693293,1770709834,1770890477,1770891038,1780823872,1790559763,1801565189,1801663356,1801946637,1811121734,1821181397,1821420761,1821823311,1831205830,1831287093,1841021342,1841253416,1841341310,1851641575,1861864225,1871268631,1881581171,1912017609,1912499005,1912869736,1922271246,1922837335,1922951722,1932218054,1952435471,1962265066,1962518001,1972369072,1982206736,1992813299,1992956304],"tin":{"type":"ein","value":"541323120","business_name":"NOVACARE REHAB DOUGLAS AVERY AND ASSOC"}}]},
{"provider_group_id":1483438414,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003105677,1346248887,1407933310,1669617866],"tin":{"type":"ein","value":"522124249","business_name":"CHESAPEAKE EYE CARE AND LASER CENTER LLC"}}]},
{"provider_group_id":1483438415,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003174707,1063726461,1114388154,1346502697,1356022537,1366861221,1417331331,1760756522,1801400148],"tin":{"type":"ein","value":"463881616","business_name":"ANACOSTIA MEDICAL ASSOC"}}]},
{"provider_group_id":1483438416,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003771809,1003924242,1013402056,1013490325,1013685023,1043931843,1134238876,1134507395,1154862985,1174405567,1215303979,1215852561,1275116444,1275572661,1285499400,1295213999,1316462815,1366466559,1376218370,1386201234,1407487325,1407492309,1407696040,1417472648,1457023509,1457060758,1457115750,1467292177,1487221636,1508584707,1508834573,1518119734,1518439470,1528175213,1538521646,1548565104,1578414603,1588490783,1629430657,1639489834,1679886790,1699222364,1699371518,1700617743,1710629365,1720755150,1730771031,1750971859,1770891038,1780451716,1851887327,1891281465,1902077506,1922289768,1922721828,1982395034,1992278386,1992529499,1992682371],"tin":{"type":"ein","value":"631133454","business_name":"SELECT PHYSICAL THERAPY HOLDINGS INC"}}]},
{"provider_group_id":1483438417,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003890708,1073562088,1073793584,1073857389,1134119902,1134203979,1144204959,1194085118,1205248598,1225321078,1225472392,1235295791,1275973711,1316937923,1366977381,1407270929,1538571856,1578535647,1619268448,1639330046,1689783185,1780665851,1790986230,1831351394,1851778096,1912981663],"tin":{"type":"ein","value":"203692857","business_name":"PROGRESSIVE MRI LLC"}}]},
{"provider_group_id":1483438418,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013065267,1144458217,1235134370,1255579744,1275524167,1326061672,1417985854,1548292022,1639334964],"tin":{"type":"ein","value":"204996126","business_name":"PATUXENT HOSPITALISTS"}}]},
{"provider_group_id":1483438419,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013136795,1063491827,1194721712,1205871894,1336135110,1447215280,1487892899,1588737118,1639134406,1639139819,1659313831,1699842997,1710984356,1750365011,1790755783,1801886262,1811905011,1982675948],"tin":{"type":"ein","value":"030403887","business_name":"CHEVY CHASE ANESTHESIA LLC"}}]},
{"provider_group_id":1483438420,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013175017,1023378973,1043217789,1053435321,1063613420,1063892172,1114952140,1114969193,1124281175,1144204371,1164654158,1215104310,1215375373,1245492693,1316070881,1336139310,1356326003,1376592295,1376592923,1407219397,1477535680,1487004727,1487015384,1518048636,1518169879,1518175660,1518393768,1528316601,1548553688,1558519173,1568490605,1568618668,1639148851,1659506517,1699119800,1699855130,1700106200,1710396791,1730105933,1740241371,1760455281,1780615922,1780622910,1790880599,1831167261,1841275815,1841673712,1881919942,1891187209,1912341819,1922599166,1962432732,1972783652,1972983823,1992030423],"tin":{"type":"ein","value":"520591657","business_name":"INTEGRATED SPECIALISTS GROUP"}}]},
{"provider_group_id":1483438421,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013335397,1104468818,1174515217,1174547848,1174949432,1184067597,1205897287,1215941695,1255890208,1265621031,1326106121,1366424921,1376006015,1386806339,1386826824,1487955399,1518159276,1568787117,1568823334,1588181325,1629535026,1669464798,1679589899,1689605537,1740283027,1760445886,1790744472,1912404054,1932866175,1942430848,1952315673,1952565111,1972753028,1992787550],"tin":{"type":"ein","value":"831301404","business_name":"UNIV MD BALTIMORE WASH HEART ASSOC"}}]},
{"provider_group_id":1483438422,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013411339,1023042231,1063650190,1063675726,1104260082,1104359934,1164868782,1174785521,1205042637,1205222759,1225243637,1235423054,1245657436,1265743447,1275508715,1275572331,1316137714,1326224239,1346268372,1356737357,1396182325,1396915237,1437200128,1447221593,1457382368,1518933951,1528086121,1609800804,1619995289,1639666779,1740574698,1760668156,1790950897,1861482572,1891775268,1952740722],"tin":{"type":"ein","value":"320611800","business_name":"IFRC LLC"}}]},
{"provider_group_id":1483438423,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013514413,1073962726,1083157655,1184462236,1235476862,1326158486,1326897026,1477269256,1528799061,1881281210,1982084570,1982910972],"tin":{"type":"ein","value":"833990297","business_name":"4 OAKS PHYSICAL THERAPY OF HARFORD COUNTY LLC"}}]},
{"provider_group_id":1483438424,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013893239,1033258884,1043872641,1043903271,1073072401,1104805894,1124083605,1215028337,1255199535,1265166680,1275227837,1346131455,1346670395,1346964004,1407733066,1417761610,1427722883,1447659180,1457582447,1467737353,1477700268,1518217314,1518937465,1528483054,1558389783,1699550780,1750245411,1760993919,1790254522,1831122894,1851984884,1871239756,1871286005,1902249964,1992344394],"tin":{"type":"ein","value":"510350641","business_name":"PHOENIX REHAB AND HEALTH SVCS OF DELAWARE"}}]},
{"provider_group_id":1483438425,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023010857],"tin":{"type":"ein","value":"521941743","business_name":"CHIRO 1ST CHIROPRACTIC"}}]},
{"provider_group_id":1483438426,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023033537],"tin":{"type":"ein","value":"454852156","business_name":"CENTERS FOR ADVANCED ORTHOPAEDICS LLC"}}]},
{"provider_group_id":1483438427,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023304060,1023891223,1033850995,1033874680,1033942081,1043428493,1063025351,1073511440,1083860654,1083976658,1093570061,1114394269,1134552128,1144468976,1144748534,1144994401,1164103701,1184027914,1184116329,1184763989,1184974982,1194074708,1205699857,1245010693,1255707691,1255953741,1265100341,1265814388,1275155756,1295855625,1306024476,1316169832,1326261678,1326499450,1336145127,1336761832,1356963854,1376165886,1396703575,1437878600,1457714693,1487687521,1508680281,1538641964,1548963531,1588303994,1588702112,1629011499,1629347596,1649297664,1699471805,1710467089,1710651146,1730635665,1760416887,1760953129,1780034058,1780147439,1780777912,1790343812,1801846332,1912276577,1912536186,1932575214,1942556667,1952971947,1982226437,1992030720],"tin":{"type":"ein","value":"520591612","business_name":"FREDERICK HEALTH PHYSICAL THERAPY AND SPORTS REHAB"}}]},
{"provider_group_id":1483438428,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023763844,1033802384,1093713281,1356493027],"tin":{"type":"ein","value":"061718321","business_name":"VALLEY CHIROPRACTIC"}}]},
{"provider_group_id":1483438429,"network_name":["EHP PCP Network"],"provider_groups":[{"npi":[1033102348],"tin":{"type":"ein","value":"522213580","business_name":"WOODLAWN PEDIATRICS"}}]},
{"provider_group_id":1483438430,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1033424791,1104113703,1124387642,1134216708,1245337492,1285049437,1588744098,1659488294],"tin":{"type":"ein","value":"522027093","business_name":"STEPHEN R GLASER MD"}}]},
{"provider_group_id":1483438431,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1053297192,1073891388,1215028337,1225639354,1306564018,1316455249,1346751005,1447659180,1568172419,1598750176,1639850746,1669542882,1710612882,1770723611,1790750040,1891000584,1992343354],"tin":{"type":"ein","value":"510111166","business_name":"REHAB CONSULTANTS INC"}}]},
{"provider_group_id":1483438432,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1053366013,1144375551,1336175884,1356300222,1548562861,1649200205,1740274414,1831165000,1851348155],"tin":{"type":"ein","value":"521372665","business_name":"NW HOSP CENTER INC"}}]},
{"provider_group_id":1483438433,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1053558528,1093447799,1144913229,1164905246,1194251280,1356803654,1366728297,1447805338,1497388748,1497541056,1639898265,1659166163,1750056073,1891277265,1962287185,1972962744,1982275939],"tin":{"type":"ein","value":"842940288","business_name":"KIDS THRIVE THERAPY LLC"}}]},
{"provider_group_id":1483438434,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1063023745,1649164823,1659558724,1659702579,1811406317,1891393617,1932195872,1972599819],"tin":{"type":"ein","value":"521724995","business_name":"HOWARD COUNTY PHYSICAL THERAPY AND SPORTS REHAB"}}]},
{"provider_group_id":1483438435,"network_name":["EHP PCP Network"],"provider_groups":[{"npi":[1083640486],"tin":{"type":"ein","value":"462144608","business_name":"DELTA FAMILY MEDICINE"}}]},
{"provider_group_id":1483438436,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1083814115,1205447448,1235101981,1235683251,1609970177,1710537543,1760079495],"tin":{"type":"ein","value":"872687382","business_name":"BETTER HEALTH MEDICAL CENTER LLC"}}]},
{"provider_group_id":1483438437,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1093747487,1508978222,1932218203,1942216411],"tin":{"type":"ein","value":"262394268","business_name":"PENINSULA NRH REGIONAL REHAB LLC"}}]},
{"provider_group_id":1483438438,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1104010792],"tin":{"type":"ein","value":"831283557","business_name":"ADVANCED GLAUCOMA EYECARE LLC"}}]},
{"provider_group_id":1483438439,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1104526078,1194429142,1265115976,1417705526,1578307872,1679277347,1770249674,1922856814],"tin":{"type":"ein","value":"611729833","business_name":"JACKSON CLINICS LIMITED PARTNERSHIP"}}]},
{"provider_group_id":1483438440,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1114244084,1538664347,1558736603,1639460868,1679972749,1699279075,1710838453,1811276173,1902049489,1922460906],"tin":{"type":"ein","value":"812319055","business_name":"SKINDC PLLC"}}]},
{"provider_group_id":1483438441,"network_name":["EHP Non PCP Network","PP Non PCP Network"],"provider_groups":[{"npi":[1124318415,1154388437,1184331985,1184918856,1235244658,1275549412,1306207998,1316668171,1346426582,1508424508,1609207083,1669941647,1679002505,1740720028,1821605585,1841655602,1841822632,1922511872,1922639194],"tin":{"type":"ein","value":"464337878","business_name":"DRAYER PHYSICAL THERAPY OF MARYLAND LLC"}}]},
{"provider_group_id":1483438442,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1144546961,1245283027,1346653946,1417928565,1538367024,1619137569,1659530178,1720067077,1811988868,1861619975,1932745916,1942674510],"tin":{"type":"ein","value":"510337119","business_name":"DELAWARE CARDIOVASCULAR ASSOC PA"}}]},
{"provider_group_id":1483438443,"network_name":["EHP Non PCP Network","EHP PCP Network"],"provider_groups":[{"npi":[1154642460,1376894352,1588105316,1861910143],"tin":{"type":"ein","value":"526000789","business_name":"FREDERICK COMMUNITY ACTION AGENCY"}}]},
{"provider_group_id":1483438444,"network_name":["EHP PCP Network"],"provider_groups":[{"npi":[1154835254,1265206098,1457130486,1770543316],"tin":{"type":"ein","value":"237022588","business_name":"MOBILE MEDICAL CARE INC"}}]},
{"provider_group_id":1483438445,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1174516819,1265449508],"tin":{"type":"ein","value":"541389985","business_name":"FAMILY FOOT AND ANKLE CENTERS PLLC"}}]},
{"provider_group_id":1483438446,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1184022279],"tin":{"type":"ein","value":"472472947","business_name":"BCS PROSTHETICS AND ORTHOTICS LLC"}}]},
{"provider_group_id":1483438447,"network_name":["EHP PCP Network","EHP Non PCP Network"],"provider_groups":[{"npi":[1184101115,1194194035,1629193867,1760411698],"tin":{"type":"ein","value":"510064318","business_name":"BAYHEALTH MEDICAL GROUP"}}]},
{"provider_group_id":1483438448,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1194068841,1730615154,1871537894],"tin":{"type":"ein","value":"812662359","business_name":"UNION HOSP OF CECIL CO ONCOLOGY"}}]},
{"provider_group_id":1483438449,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1194232165,1245346360,1447631791,1447743380,1518101500],"tin":{"type":"ein","value":"522324024","business_name":"FLAGSHIP REHAB INC"}}]},
{"provider_group_id":1483438450,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1225143225],"tin":{"type":"ein","value":"382617193","business_name":"PHYSIOTHERAPY ASSOC INC"}}]},
{"provider_group_id":1483438451,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1225363922],"tin":{"type":"ein","value":"522044734","business_name":"ALAE ZARIF MD LLC"}}]},
{"provider_group_id":1483438452,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1235692245,1740227339,1922637768],"tin":{"type":"ein","value":"204172061","business_name":"INPT SURGICAL CONSULTANTS PA"}}]},
{"provider_group_id":1483438453,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1245359934,1578033544],"tin":{"type":"ein","value":"208715916","business_name":"SOMETHING 2 TALK ABOUT"}}]},
{"provider_group_id":1483438454,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1245479617],"tin":{"type":"ein","value":"453007639","business_name":"FREDERICK HEALTH MEDICAL GROUP"}}]},
{"provider_group_id":1483438455,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1255890208,1265424733,1700105533,1992996631],"tin":{"type":"ein","value":"521874111","business_name":"UNIV OF MARYLAND COMM MEDICAL GROUP"}}]},
{"provider_group_id":1483438456,"network_name":["EHP PCP Network"],"provider_groups":[{"npi":[1316006844],"tin":{"type":"ein","value":"852401040","business_name":"PAUL BEREZ MD LLC"}}]},
{"provider_group_id":1483438457,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1336140953,1760584247],"tin":{"type":"ein","value":"264015414","business_name":"METROPOLITAN ANESTHESIA CONSULTANTS"}}]},
{"provider_group_id":1483438458,"network_name":["EHP PCP Network"],"provider_groups":[{"npi":[1366264137,1821494964],"tin":{"type":"ein","value":"814661163","business_name":"SEVEN 2 SEVEN MEDICAL SVCS LLC"}}]},
{"provider_group_id":1483438459,"network_name":["EHP PCP Network"],"provider_groups":[{"npi":[1366710444,1770772196],"tin":{"type":"ein","value":"812674064","business_name":"KINDERHEALTH LLC"}}]},
{"provider_group_id":1483438460,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1396707998],"tin":{"type":"ein","value":"522258591","business_name":"BERNHARD ZUNKELER MD PA"}}]},
{"provider_group_id":1483438461,"network_name":["EHP PCP Network"],"provider_groups":[{"npi":[1417144221],"tin":{"type":"ein","value":"833746337","business_name":"VILMA I DOBBS"}}]},
{"provider_group_id":1483438462,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1417243460,1497982979,1528068939,1740488667],"tin":{"type":"ein","value":"520486540","business_name":"SINAI GENERAL MEDICINE ASSOC"}}]},
{"provider_group_id":1483438463,"network_name":["EHP PCP Network"],"provider_groups":[{"npi":[1427017144,1528882024,1891599551],"tin":{"type":"ein","value":"832046731","business_name":"GERMANTOWN PRIMARY HEALTHCARE"}}]},
{"provider_group_id":1483438464,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1447506662,1477672889],"tin":{"type":"ein","value":"522107062","business_name":"NRH CPT REGIONAL REHAB LLC"}}]},
{"provider_group_id":1483438465,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1467460394],"tin":{"type":"ein","value":"030377645","business_name":"BALTIMORE BACK AND PAIN CENTER"}}]},
{"provider_group_id":1483438466,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1467554097],"tin":{"type":"ein","value":"262683165","business_name":"HAGERSTOWN RHEUMATOLOGY ASSOC LLC"}}]},
{"provider_group_id":1483438467,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1487833356],"tin":{"type":"ein","value":"824882385","business_name":"THERAPY CENTER LLC"}}]},
{"provider_group_id":1483438468,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1558536508,1659306439,1861586877],"tin":{"type":"ein","value":"800406528","business_name":"AMERICAN SLEEP MEDICINE LLC"}}]},
{"provider_group_id":1483438469,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1558963280],"tin":{"type":"ein","value":"520610538","business_name":"SHORE HEALTH SYSTEMS"}}]},
{"provider_group_id":1483438470,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1568487247,1982629739],"tin":{"type":"ein","value":"522172171","business_name":"AJIT P KURUVILLA"}}]},
{"provider_group_id":1483438471,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1578555942,1588071930],"tin":{"type":"ein","value":"521750628","business_name":"CAPITOL CARDIOLOGY ASSOC"}}]},
{"provider_group_id":1483438472,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1588828263],"tin":{"type":"ein","value":"842904716","business_name":"PODIATRY CARE PLUS LLC"}}]},
{"provider_group_id":1483438473,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1609195825],"tin":{"type":"ein","value":"020680754","business_name":"PROGRESSIVE SPINAL AND SPORTS REHAB PC"}}]},
{"provider_group_id":1483438474,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1639109473],"tin":{"type":"ein","value":"521345020","business_name":"FULTON PHARMACY INC"}}]},
{"provider_group_id":1483438475,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1639330871],"tin":{"type":"ein","value":"821394844","business_name":"PHYSICAL THERAPY AT CROSSROADS LLC"}}]},
{"provider_group_id":1483438476,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1669507158],"tin":{"type":"ein","value":"760838353","business_name":"KIMBERLY SUE WRIGHT"}}]},
{"provider_group_id":1483438477,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1679560544,1871846873],"tin":{"type":"ein","value":"521892744","business_name":"ALLEGANY ALLERGY AND ASTHMA"}}]},
{"provider_group_id":1483438478,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1700824794],"tin":{"type":"ein","value":"208142750","business_name":"GENESICCARE USA OF PRINCE GEORGES COUNTY MARYLAND"}}]},
{"provider_group_id":1483438479,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1700856655],"tin":{"type":"ein","value":"460591927","business_name":"JAMES RANO DPM"}}]},
{"provider_group_id":1483438480,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1750687141],"tin":{"type":"ein","value":"134361758","business_name":"KENNARD CHIROPRATIC AND PHYSICAL THERAPY"}}]},
{"provider_group_id":1483438481,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1801898077],"tin":{"type":"ein","value":"521003789","business_name":"RADIATION PHYSICS INC"}}]},
{"provider_group_id":1483438482,"network_name":["EHP PCP Network"],"provider_groups":[{"npi":[1831677236],"tin":{"type":"ein","value":"842493588","business_name":"ECARENOW TELEHEALTH"}}]},
{"provider_group_id":1483438483,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1841288255],"tin":{"type":"ein","value":"395545134","business_name":"ROBERT E MINAHAN JR"}}]},
{"provider_group_id":1483438484,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1912087453],"tin":{"type":"ein","value":"203383295","business_name":"VASCULAR ACCESS CENTER OF WASHINGTON DC"}}]},
{"provider_group_id":1483438485,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1912288838],"tin":{"type":"ein","value":"462789480","business_name":"ABOUT KIDS OCCUPATIONAL THERAPY LLC"}}]},
{"provider_group_id":1483438486,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1922199058],"tin":{"type":"ein","value":"540846558","business_name":"FAIRFAX RADIOLOGICAL CONSULTANTS PC"}}]},
{"provider_group_id":1483438487,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1942633409],"tin":{"type":"ein","value":"030479018","business_name":"ALLEGANY CHIROPRACTIC CENTER"}}]},
{"provider_group_id":1483438488,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1952699662],"tin":{"type":"ein","value":"842082509","business_name":"PHOENIX PEDIATRIC THERAPY SVCS"}}]},
{"provider_group_id":1483438489,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1992735807],"tin":{"type":"ein","value":"520994667","business_name":"THE BELTSVILLE FOOT AND ANKLE CENTER INC"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, biva","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0121A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome corona","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0223U","description":"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome corona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":491.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spik","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0141A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, biva","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0151A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spik","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0142A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, biva","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0171A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome corona","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0202U","description":"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome corona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":491.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets, including severe acute respiratory syndrome coronavirus 2 (SARS-","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0225U","description":"Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets, including severe acute respiratory syndrome coronavirus 2 (SARS-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":491.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, biva","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0172A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), includes titer(s), when performed","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0224U","description":"Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), includes titer(s), when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Surrogate viral neutralization test (sVNT), severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), ELISA, plasma, serum","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0226U","description":"Surrogate viral neutralization test (sVNT), severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), ELISA, plasma, serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]); screen","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"86408","description":"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]); screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay for infectious agent antibody(ies), qualitative or semi quantitative, single-step method (eg, reagent strip);","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"86318","description":"Immunoassay for infectious agent antibody(ies), qualitative or semi quantitative, single-step method (eg, reagent strip);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"87426","description":"severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by bulk acoustic wave biosensor immunoassay, severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"0408U","description":"Infectious agent antigen detection by bulk acoustic wave biosensor immunoassay, severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunoch","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"87428","description":"Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunoch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"86328","description":"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (eg, reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]); titer","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"86409","description":"Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]); titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":93.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"86413","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"86769","description":"Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe techniq","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"87635","description":"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe techniq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus type","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"87636","description":"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":168.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (e.g., adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,; ; respirator","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"87633","description":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (e.g., adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,; ; respirator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":491.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"87637","description":"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), influenza virus types A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":168.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87812","description":"CPT-87812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syn","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"87631","description":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":168.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) (coronavirus disease [COVID-19]) vaccine, single dose","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"90480","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) (coronavirus disease [COVID-19]) vaccine, single dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), mutation identi","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"87913","description":"Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), mutation identi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":303.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disea","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"87811","description":"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90612","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90612","description":"CPT-90612","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA LNP, bivalent spike protein, preservative free, 30 mcg/0.3 mL dosag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91312","description":"Severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA LNP, bivalent spike protein, preservative free, 30 mcg/0.3 mL dosag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90613","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90613","description":"CPT-90613","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA LNP, spike protein, bivalent, preservative free, 50 mcg/0.5 mL dosa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91313","description":"Severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA LNP, spike protein, bivalent, preservative free, 50 mcg/0.5 mL dosa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90481","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90481","description":"CPT-90481","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preserva","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91304","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preserva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":226.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 25 mcg/0.25 mL dos","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91314","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 25 mcg/0.25 mL dos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA LNP, bivalent spike protein, preservative free, 3 mcg/0.2 mL dosage","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91317","description":"Severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA LNP, bivalent spike protein, preservative free, 3 mcg/0.2 mL dosage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 10 mcg/0.2 mL dosag","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91315","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, bivalent spike protein, preservative free, 10 mcg/0.2 mL dosag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"CPT-91323","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91323","description":"CPT-91323","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":238.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, 3 mcg/0.23 mL dosage, tris-sucrose formulation,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91318","description":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, 3 mcg/0.23 mL dosage, tris-sucrose formulation,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":77.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, 10 mcg/0.23 mL dosage, tris-sucrose formulation,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91319","description":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, 10 mcg/0.23 mL dosage, tris-sucrose formulation,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":111.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, 50 mcg/0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91322","description":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, 50 mcg/0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":190.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation,","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91320","description":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation,","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":198.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, 25 mcg/0.25 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91321","description":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine, mRNALNP, 25 mcg/0.25 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":173.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 10 mcg/0.2 mL dosa","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"91316","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, bivalent, preservative free, 10 mcg/0.2 mL dosa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Publ","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99072","description":"Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Publ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Antibody testing for a public health related pathogen, including coronavirus.","billing_code_type":"CDT","billing_code_type_version":"2025","billing_code":"D0605","description":"Antibody testing for a public health related pathogen, including coronavirus.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 1","billing_code_type":"CDT","billing_code_type_version":"2025","billing_code":"D1701","description":"SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"99401","description":"Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Molecular testing for a public health related pathogen, including coronavirus","billing_code_type":"CDT","billing_code_type_version":"2025","billing_code":"D0606","description":"Molecular testing for a public health related pathogen, including coronavirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":115.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 2","billing_code_type":"CDT","billing_code_type_version":"2025","billing_code":"D1704","description":"SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 3","billing_code_type":"CDT","billing_code_type_version":"2025","billing_code":"D1710","description":"SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 1","billing_code_type":"CDT","billing_code_type_version":"2025","billing_code":"D1703","description":"SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 3","billing_code_type":"CDT","billing_code_type_version":"2025","billing_code":"D1708","description":"SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 COVID-19 VAC mRNA 50mcg/0.25mL IM DOSE BOOSTER","billing_code_type":"CDT","billing_code_type_version":"2025","billing_code":"D1711","description":"SARSCOV2 COVID-19 VAC mRNA 50mcg/0.25mL IM DOSE BOOSTER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"K1034","description":"Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"distant site telehealth services","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"G2025","description":"distant site telehealth services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":108.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (e.g., adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,; respiratory","billing_code_type":"CPT","billing_code_type_version":"2025","billing_code":"87632","description":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (e.g., adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,; respiratory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":256.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Injection, remdesivir, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"J0248","description":"Injection, remdesivir, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patients home; reported only once per individual home per date of service when such v","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"M0201","description":"Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patients home; reported only once per individual home per date of service when such v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0231","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0231","description":"HCPCS-M0231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0232","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0232","description":"HCPCS-M0232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0233","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0233","description":"HCPCS-M0233","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0234","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0234","description":"HCPCS-M0234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0238","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0238","description":"HCPCS-M0238","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0235","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0235","description":"HCPCS-M0235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0236","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0236","description":"HCPCS-M0236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0237","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0237","description":"HCPCS-M0237","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0234","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0234","description":"HCPCS-Q0234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0238","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0238","description":"HCPCS-Q0238","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0237","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0237","description":"HCPCS-Q0237","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"M0248","description":"Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0235","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0235","description":"HCPCS-Q0235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"U0001","description":"Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"U0002","description":"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69999.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and requi","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"M0249","description":"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and requi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":529.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and requi","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"M0250","description":"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and requi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":529.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require suppleme","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"Q0249","description":"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require suppleme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1483438413]}]}]}

