{"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":440111707,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003011636,1003074139,1003083486,1013661198,1023100104,1023114279,1023158193,1023660701,1033266119,1033398029,1033461165,1033841663,1043288145,1043370828,1043377021,1043937402,1053470245,1053482687,1053726315,1053988394,1063571743,1063588150,1073566253,1073705604,1083979173,1093564072,1093568743,1104206465,1104478445,1104609379,1104960129,1104980846,1114667573,1124654710,1134234735,1134657885,1134796345,1134965205,1144453812,1154364800,1154364842,1154398972,1154408946,1154552453,1154939551,1164522264,1164524716,1164549515,1164947248,1174147219,1174302319,1174412548,1184665341,1184814428,1194843771,1205106648,1205454055,1205601317,1215032461,1225196645,1225683121,1235418583,1235752528,1245010727,1255429551,1255851721,1265069876,1265420921,1265638316,1265961627,1275763500,1285019109,1285049437,1285151910,1285288506,1285293100,1285921296,1295265205,1295778124,1306100664,1316051055,1316914153,1326397555,1336116979,1336182088,1336218312,1336224542,1336717768,1336982750,1356980619,1366549289,1366963092,1376161703,1376872531,1386660348,1386992220,1396166773,1396351490,1396967675,1396975355,1407931629,1407952179,1417035981,1417080102,1417360975,1427430594,1437153814,1437236775,1437502796,1447277926,1457664302,1467411603,1467761544,1467947812,1477232205,1518044924,1518433796,1518647049,1528001278,1528296456,1528636735,1528815164,1538214838,1548047574,1548338171,1548361124,1548638810,1558340836,1568494441,1568511095,1578647715,1578680849,1588031793,1588225833,1588396386,1598797599,1609362649,1609555879,1629143946,1629404777,1629504535,1629643606,1629740840,1639691926,1639994585,1649366113,1649770835,1659865483,1669545927,1689012577,1689641987,1699837286,1700174497,1700667094,1710345368,1720091408,1720150915,1720463698,1720565641,1720602634,1730120114,1730122409,1740044643,1740066026,1740297829,1750419834,1750745105,1760243059,1760420418,1760549117,1760897276,1770156580,1801469523,1801855630,1801891403,1811953292,1811968167,1821512971,1821670183,1831112911,1831477488,1831563733,1831853563,1841322492,1841801487,1851841027,1851934699,1851961726,1861052631,1861902959,1871750133,1891987723,1902110612,1912429622,1912682071,1922003748,1922406933,1932194891,1932283579,1932693793,1932817608,1952378770,1952856700,1962589291,1962816421,1972142545,1972685048,1972943173,1992776926],"tin":{"type":"ein","value":"464746102","business_name":"MY EYE DR"}}]},
{"provider_group_id":440111708,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003074139,1215032461,1275763500,1386992220,1700174497,1760243059,1912429622,1922003748,1952856700],"tin":{"type":"ein","value":"464192156","business_name":"LEXINGTON PARK OPTOMETRY LLC"}}]},
{"provider_group_id":440111709,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003083486,1023100104,1023114279,1043288145,1043377021,1043937402,1053354399,1083979173,1104206465,1104960129,1124654710,1134234735,1134965205,1154408946,1154939551,1164549515,1184665341,1184814428,1194843771,1205106648,1235418583,1245010727,1285293100,1396351490,1518647049,1528001278,1528636735,1538214838,1548361124,1609555879,1629643606,1639691926,1710345368,1730120114,1730122409,1821670183,1831477488,1871750133,1912429622,1932194891,1972943173,1992776926],"tin":{"type":"ein","value":"010803444","business_name":"MY EYE DR"}}]},
{"provider_group_id":440111710,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003083486],"tin":{"type":"ein","value":"208901521","business_name":"MY EYE DR"}}]},
{"provider_group_id":440111711,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003592155,1043219124,1053589499,1104113703,1548352800],"tin":{"type":"ein","value":"521523054","business_name":"ROCKVILLE EYE ASSOC"}}]},
{"provider_group_id":440111712,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003801077,1376944017,1669761649],"tin":{"type":"ein","value":"522307748","business_name":"BAY FAMILY EYE CARE"}}]},
{"provider_group_id":440111713,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003841172],"tin":{"type":"ein","value":"208226139","business_name":"ALIANIELLO EYE CARE INC"}}]},
{"provider_group_id":440111714,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003843152,1184651051],"tin":{"type":"ein","value":"521991051","business_name":"DRS SCHWARTZ AND SPIND"}}]},
{"provider_group_id":440111715,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013146133,1912696311],"tin":{"type":"ein","value":"200534267","business_name":"DELMARVA LASER EYE CENTER"}}]},
{"provider_group_id":440111716,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013357532,1033842901,1043221088,1073683371,1174683031,1174722763,1255584793,1265928071,1285206052,1366473548,1376584375,1437141942,1457313660,1518399781,1518961598,1568542611,1679516595,1700811213,1740817626,1881761815,1881818276,1891489787,1932772126],"tin":{"type":"ein","value":"205870218","business_name":"LEVIN EYE CARE"}}]},
{"provider_group_id":440111717,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013693910,1801787510],"tin":{"type":"ein","value":"521692515","business_name":"ROBERT C FELDMAN MD PA"}}]},
{"provider_group_id":440111718,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013693910,1114579992,1407160377,1477651248,1538246855,1598235749,1649363946,1780949693,1801855630,1912566753],"tin":{"type":"ein","value":"521871908","business_name":"PEEPERS OF SEVERNA PARK"}}]},
{"provider_group_id":440111719,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013984848],"tin":{"type":"ein","value":"753065569","business_name":"S PENN EYE CARE"}}]},
{"provider_group_id":440111720,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023068475,1083118087,1265654875,1326135716,1396381315,1467455675,1528626363,1568468106,1598879462,1689611691,1720068455,1790946556,1831838903,1851383830,1942867981,1992776488],"tin":{"type":"ein","value":"232920671","business_name":"LUDWICK EYE CENTER"}}]},
{"provider_group_id":440111721,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023114279,1124654710,1184814428,1194843771,1396351490,1609555879,1871750133,1962816421],"tin":{"type":"ein","value":"263976956","business_name":"MY EYE DR"}}]},
{"provider_group_id":440111722,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023114279,1124654710,1134234735,1245010727,1285288506,1518647049,1609555879,1629643606,1740066026,1912429622,1932194891],"tin":{"type":"ein","value":"743091460","business_name":"MY EYE DR"}}]},
{"provider_group_id":440111723,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023190030,1235752528,1275693889,1407905128,1578208328,1851815278,1962816421],"tin":{"type":"ein","value":"203808357","business_name":"BETHESDA VISION CARE INC"}}]},
{"provider_group_id":440111724,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1033398029,1154364800,1164947248,1528815164,1609362649,1639691926,1710345368,1932194891],"tin":{"type":"ein","value":"113763525","business_name":"MYEYEDR"}}]},
{"provider_group_id":440111725,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1043370828],"tin":{"type":"ein","value":"270725801","business_name":"URBANA EYE CARE"}}]},
{"provider_group_id":440111726,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1043382450,1669736161],"tin":{"type":"ein","value":"521917778","business_name":"VISUAL EYES"}}]},
{"provider_group_id":440111727,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1053455006,1134853229,1184454381,1235752528,1285693598,1447948518,1912960964],"tin":{"type":"ein","value":"521475353","business_name":"WEINSTEIN EYE ASSOC LLC"}}]},
{"provider_group_id":440111728,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1063401362,1275990145,1285697888,1588225833],"tin":{"type":"ein","value":"550836892","business_name":"ADVANCED EYE CARE"}}]},
{"provider_group_id":440111729,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1063525681,1285017582,1790946556],"tin":{"type":"ein","value":"522307195","business_name":"EYECARE PROFESSIONALS"}}]},
{"provider_group_id":440111730,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1073705604,1174590996,1316914153,1689641987,1952378770],"tin":{"type":"ein","value":"461497467","business_name":"VISION ASSOC INC"}}]},
{"provider_group_id":440111731,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1083616205,1144743626,1205838422,1295737419,1871943910],"tin":{"type":"ein","value":"522115189","business_name":"SEIDENBERG PROTZKO EYE ASSOC"}}]},
{"provider_group_id":440111732,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1083761183],"tin":{"type":"ein","value":"873456769","business_name":"CAPITAL EYE CONSULTANTS"}}]},
{"provider_group_id":440111733,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1083774368],"tin":{"type":"ein","value":"522338400","business_name":"DR GREGORY T KOMM OD PA"}}]},
{"provider_group_id":440111734,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1083979173,1164549515,1184665341,1184814428,1194843771,1447277926,1528636735,1538214838,1578647715,1730122409,1821670183,1831477488,1831563733,1932283579,1962816421],"tin":{"type":"ein","value":"261503261","business_name":"MYEYEDR"}}]},
{"provider_group_id":440111735,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1093877862,1326040734],"tin":{"type":"ein","value":"474082172","business_name":"WALKERSVILLE EYECARE"}}]},
{"provider_group_id":440111736,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1104823459],"tin":{"type":"ein","value":"522000021","business_name":"KATZEN MEDICAL ASSOC PC"}}]},
{"provider_group_id":440111737,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1104980846],"tin":{"type":"ein","value":"270876442","business_name":"PRECISION VISION AND EYEWEAR"}}]},
{"provider_group_id":440111738,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1104980846,1285293100,1356980619,1417306697],"tin":{"type":"ein","value":"521417115","business_name":"OMNI EYE SPECIALISTS"}}]},
{"provider_group_id":440111739,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1104984145,1144385105,1144453812,1487759353],"tin":{"type":"ein","value":"020677066","business_name":"ECCA MANAGED VISION CARE INC"}}]},
{"provider_group_id":440111740,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1114909348],"tin":{"type":"ein","value":"462591309","business_name":"DANIEL STOLTZE"}}]},
{"provider_group_id":440111741,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1124027248,1144385105,1366473548,1376584375,1437236775,1588756217],"tin":{"type":"ein","value":"222512930","business_name":"BLOCK VISION"}}]},
{"provider_group_id":440111742,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1124654710,1194843771,1609555879,1871750133,1962816421],"tin":{"type":"ein","value":"522346765","business_name":"MY EYE DR"}}]},
{"provider_group_id":440111743,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1124654710,1154408946,1174302319,1184814428,1639691926,1710345368,1912429622,1962816421],"tin":{"type":"ein","value":"810596681","business_name":"MY EYE DR"}}]},
{"provider_group_id":440111744,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1124675541,1538470083,1578290987,1619031853],"tin":{"type":"ein","value":"884320364","business_name":"INTEGRITY EYE CARE LLC"}}]},
{"provider_group_id":440111745,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1134136559,1376944017,1558391292,1801855630,1821052168,1851732283],"tin":{"type":"ein","value":"473182570","business_name":"PROFESSIONAL VISION EYECARE INC"}}]},
{"provider_group_id":440111746,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1134234735],"tin":{"type":"ein","value":"331138150","business_name":"MOBILE OPTICAL INC"}}]},
{"provider_group_id":440111747,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1144725268,1154371532,1437466117,1770933251,1831627900],"tin":{"type":"ein","value":"521953946","business_name":"FAMILY OPTOMETRIC ASSOC PC"}}]},
{"provider_group_id":440111748,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1154982858],"tin":{"type":"ein","value":"521225845","business_name":"FREDERICK J SAUERBURGER MD"}}]},
{"provider_group_id":440111749,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1164522264],"tin":{"type":"ein","value":"411921983","business_name":"UNITED OPTICAL"}}]},
{"provider_group_id":440111750,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1164947248,1265448633,1285293100,1538214838,1609362649,1609555879,1639691926,1710345368,1932194891,1962816421],"tin":{"type":"ein","value":"043677931","business_name":"GOODMAN EYECARE CENTER LLC"}}]},
{"provider_group_id":440111751,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1184617672,1407849995,1578556064,1629061148],"tin":{"type":"ein","value":"522277584","business_name":"MD EYECARE LLC"}}]},
{"provider_group_id":440111752,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1184667057,1558319707],"tin":{"type":"ein","value":"460742489","business_name":"JACKSONVILLE EYE CARE"}}]},
{"provider_group_id":440111753,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1194843771,1275763500,1285293100,1467411603],"tin":{"type":"ein","value":"460785220","business_name":"MY EYE DR"}}]},
{"provider_group_id":440111754,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1205814795],"tin":{"type":"ein","value":"431984993","business_name":"EASTON OPTICAL LLC"}}]},
{"provider_group_id":440111755,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1205846102,1295879690,1316174394],"tin":{"type":"ein","value":"201838374","business_name":"LUMINIS HEALTH MEDICAL GROUP LLC"}}]},
{"provider_group_id":440111756,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1235224080,1659466589,1740971787],"tin":{"type":"ein","value":"462380824","business_name":"WOOLF EYE LAB"}}]},
{"provider_group_id":440111757,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1235418583,1285293100,1811968167],"tin":{"type":"ein","value":"274845289","business_name":"MY EYE DR"}}]},
{"provider_group_id":440111758,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1245377910],"tin":{"type":"ein","value":"541650555","business_name":"DR LOUIS A ESPEJO AND ASSOC"}}]},
{"provider_group_id":440111759,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1255394664],"tin":{"type":"ein","value":"522102537","business_name":"JAMES AND DYER MD"}}]},
{"provider_group_id":440111760,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1255429551,1356428171,1790346104,1871607549],"tin":{"type":"ein","value":"473574567","business_name":"PROFESSIONAL VISION OF ELLICOTT CITY INC"}}]},
{"provider_group_id":440111761,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1265577183],"tin":{"type":"ein","value":"521692440","business_name":"STERLING OPTICAL"}}]},
{"provider_group_id":440111762,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1275845026],"tin":{"type":"ein","value":"871400036","business_name":"GERMANTOWN VISION CARE CENTER"}}]},
{"provider_group_id":440111763,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1285288506],"tin":{"type":"ein","value":"461634131","business_name":"MY EYE DR VIENNA"}}]},
{"provider_group_id":440111764,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1285697888,1972560282],"tin":{"type":"ein","value":"522054726","business_name":"SOBER FAMILY EYE CARE PA"}}]},
{"provider_group_id":440111765,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1285757443,1396967675,1497430847],"tin":{"type":"ein","value":"264035965","business_name":"AMERICAN EYECARE CENTER"}}]},
{"provider_group_id":440111766,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1306897749,1790347904],"tin":{"type":"ein","value":"521615529","business_name":"EYE TO EYE"}}]},
{"provider_group_id":440111767,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1326036369],"tin":{"type":"ein","value":"521728660","business_name":"PROFESSIONAL VISION OF BEL AIR"}}]},
{"provider_group_id":440111768,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1336717768],"tin":{"type":"ein","value":"460903352","business_name":"MY EYE DR"}}]},
{"provider_group_id":440111769,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1366473548,1376584375],"tin":{"type":"ein","value":"462558687","business_name":"LEVIN EYECARE PARTNERS"}}]},
{"provider_group_id":440111770,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1407046071,1912909292],"tin":{"type":"ein","value":"522114703","business_name":"HOLLOWAY EYE CARE AND OPTIQUE"}}]},
{"provider_group_id":440111771,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1417035981,1588725733,1922514314],"tin":{"type":"ein","value":"520974706","business_name":"PENINSULA EYE CENTER"}}]},
{"provider_group_id":440111772,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1447396700],"tin":{"type":"ein","value":"593774368","business_name":"DEPENDABLE EYE CARE INC"}}]},
{"provider_group_id":440111773,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1487087433],"tin":{"type":"ein","value":"521529770","business_name":"JARRETTSVILLE FAMILY EYECARE"}}]},
{"provider_group_id":440111774,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1518399781],"tin":{"type":"ein","value":"462244459","business_name":"GOEL VISION"}}]},
{"provider_group_id":440111775,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1518399781,1720150915,1922148261],"tin":{"type":"ein","value":"850942615","business_name":"GOEL VISION COLUMBIA LLC"}}]},
{"provider_group_id":440111776,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1538470083,1568465748],"tin":{"type":"ein","value":"522042473","business_name":"MOHR AND BARBER MD LLC"}}]},
{"provider_group_id":440111777,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1568141836,1720429368,1881699627],"tin":{"type":"ein","value":"522032553","business_name":"BALTIMORE WASHINGTON EYE CENTER"}}]},
{"provider_group_id":440111778,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1568740793,1871634972],"tin":{"type":"ein","value":"270159665","business_name":"GLAUCOMA PLUS EYE CARE LLC"}}]},
{"provider_group_id":440111779,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1588650105],"tin":{"type":"ein","value":"521177108","business_name":"DRS FRANK WEIDEMAN AND JAMES NICKOL"}}]},
{"provider_group_id":440111780,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1598441172],"tin":{"type":"ein","value":"205076351","business_name":"RUTZEN EYE SPECIALISTS LLC"}}]},
{"provider_group_id":440111781,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1619074754],"tin":{"type":"ein","value":"521985751","business_name":"JAMES LOSKOT OD"}}]},
{"provider_group_id":440111782,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1619993607],"tin":{"type":"ein","value":"521473190","business_name":"ERIC COHEN OD"}}]},
{"provider_group_id":440111783,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1669761649],"tin":{"type":"ein","value":"465241948","business_name":"ADVANCED FAMILY VISION CARE"}}]},
{"provider_group_id":440111784,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1669822615],"tin":{"type":"ein","value":"521159840","business_name":"BRUCE HYATT MD"}}]},
{"provider_group_id":440111785,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1679520928],"tin":{"type":"ein","value":"522253219","business_name":"DAVID S BLUM"}}]},
{"provider_group_id":440111786,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1689012577],"tin":{"type":"ein","value":"843992179","business_name":"CLARITY EYECARE"}}]},
{"provider_group_id":440111787,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1689663494],"tin":{"type":"ein","value":"522041229","business_name":"COLUMBIA FAMILY EYE CARE"}}]},
{"provider_group_id":440111788,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1699891515],"tin":{"type":"ein","value":"454524987","business_name":"PEEPERS FAMILY EYECARE"}}]},
{"provider_group_id":440111789,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1710083258,1881687606,1962495705],"tin":{"type":"ein","value":"521612384","business_name":"BRILLIANT EYECARE"}}]},
{"provider_group_id":440111790,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1710905880],"tin":{"type":"ein","value":"522120084","business_name":"RYAN QUENTIN BEVERIDGE OD INC"}}]},
{"provider_group_id":440111791,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1720091408],"tin":{"type":"ein","value":"202712966","business_name":"EYE SYMMETRY"}}]},
{"provider_group_id":440111792,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1801839709],"tin":{"type":"ein","value":"521669372","business_name":"THE HEREFORD EYECARE ASSOC"}}]},
{"provider_group_id":440111793,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1811419450],"tin":{"type":"ein","value":"522249692","business_name":"THE GLAUCOMA CENTER PC"}}]},
{"provider_group_id":440111794,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1821109596],"tin":{"type":"ein","value":"201459150","business_name":"EAGLE EYE CARE PA"}}]},
{"provider_group_id":440111795,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1831222355],"tin":{"type":"ein","value":"263057810","business_name":"ANNAPOLIS OPTICAL"}}]},
{"provider_group_id":440111796,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1831542372,1871634972],"tin":{"type":"ein","value":"520914783","business_name":"SELECT EYE CARE LLC"}}]},
{"provider_group_id":440111797,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1831542372],"tin":{"type":"ein","value":"522124249","business_name":"CHESAPEAKE EYE CARE AND LASER CENTER LLC"}}]},
{"provider_group_id":440111798,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1861429367],"tin":{"type":"ein","value":"261353494","business_name":"MOUNT AIRY MEDICAL EYE CENTER LLC"}}]},
{"provider_group_id":440111799,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1861902959],"tin":{"type":"ein","value":"611489642","business_name":"CENTRAL MARYLAND EYE ASSOC PC"}}]},
{"provider_group_id":440111800,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1881698116],"tin":{"type":"ein","value":"331057923","business_name":"GRIFASI EYECARE OPTICAL INC"}}]},
{"provider_group_id":440111801,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1891733085],"tin":{"type":"ein","value":"753151742","business_name":"RESTON EYE ASSOC PLLC"}}]},
{"provider_group_id":440111802,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1922003748],"tin":{"type":"ein","value":"463014133","business_name":"PRINCE FREDERICK OPTOMETRY LLC"}}]},
{"provider_group_id":440111803,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1922053602],"tin":{"type":"ein","value":"521495113","business_name":"ST PAUL PLACE SPECIALISTS INC"}}]},
{"provider_group_id":440111804,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1922114834],"tin":{"type":"ein","value":"201405783","business_name":"BALTIMORE EYE PHYSICIANS LLC"}}]},
{"provider_group_id":440111805,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1922140805],"tin":{"type":"ein","value":"331127140","business_name":"BARBRA R JOHNSON OD"}}]},
{"provider_group_id":440111806,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1942384102],"tin":{"type":"ein","value":"450591957","business_name":"ROCKVILLE EYE CENTER"}}]},
{"provider_group_id":440111807,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1962529768],"tin":{"type":"ein","value":"271267502","business_name":"VISION SPECIALISTS OF ANNAPOLIS"}}]},
{"provider_group_id":440111808,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1992807374],"tin":{"type":"ein","value":"203750697","business_name":"DR CLAUDIA L BLEMARD"}}]}
], "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":"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]},
{"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":[440111707]}]}]}

