{"reporting_entity_name": "John Hopkins Health Plans","reporting_entity_type": "Commercial","last_updated_on": "2026-08-26","version": "2.0","provider_references": [                                                                                                                                                                   
{"provider_group_id":1885487121,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003011636,1003074139,1003083486,1013661198,1023114279,1033266119,1033461165,1043288145,1043377021,1043937402,1063571743,1073705604,1083979173,1104206465,1134234735,1134796345,1134965205,1154398972,1154408946,1154939551,1164522264,1164524716,1164947248,1174147219,1174302319,1174554562,1174683031,1184665341,1184814428,1194843771,1205106648,1215032461,1235418583,1235752528,1255851721,1265638316,1275763500,1285293100,1295265205,1306100664,1316914153,1336116979,1336717768,1336982750,1356980619,1376872531,1386660348,1396967675,1396975355,1417080102,1437502796,1447277926,1467411603,1467761544,1477232205,1528636735,1538214838,1548047574,1548361124,1588031793,1588225833,1598797599,1609362649,1629143946,1629740840,1639691926,1689641987,1700174497,1710345368,1720150915,1720602634,1740297829,1750419834,1760243059,1760420418,1811968167,1821512971,1821670183,1831112911,1831477488,1831563733,1851841027,1851961726,1871750133,1881360196,1912682071,1922003748,1932283579,1932693793,1932817608,1952378770,1952856700,1962816421,1992157564],"tin":{"type":"ein","value":"464746102","business_name":"MYEYEDR"}}]},
{"provider_group_id":1885487122,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003105677,1003341413,1013200104,1013975796,1053040733,1053054726,1053381210,1063401362,1093009839,1104834795,1104980846,1114909348,1134417025,1154516714,1154995850,1164464806,1164563946,1225452337,1235767120,1245233428,1245405240,1255584793,1255782173,1275422487,1275796229,1275990145,1295720423,1306012950,1306928965,1316622541,1336677913,1366794638,1376679043,1396351490,1407882129,1407933310,1417306697,1427497429,1447208657,1447876040,1457325177,1467406900,1487040036,1497287031,1497315766,1508229832,1508436759,1528098415,1528685328,1538470083,1548359821,1548740772,1558377713,1568141836,1568465748,1588826168,1598056822,1598714909,1619408176,1629074745,1649015645,1649162108,1659306520,1659371888,1679292098,1679992515,1689017709,1689679425,1689777039,1699360800,1699837286,1699971796,1700134152,1700343142,1740690924,1750109021,1750391579,1770364630,1770713471,1790733954,1790874063,1790887800,1790888006,1811069495,1821318841,1831542372,1841826815,1851961726,1861435570,1881334621,1891752259,1912682071,1922114834,1932217262,1932817608,1952747289,1962016998,1972606325,1982947230,1992047617,1992292130],"tin":{"type":"ein","value":"522124249","business_name":"CHESAPEAKE EYE CARE AND LASER CENTER LLC"}}]},
{"provider_group_id":1885487123,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003105677,1205333457,1255642237,1336171248,1346248887,1427055144,1568469286,1669617866,1801549357,1982865531,1992902381],"tin":{"type":"ein","value":"833293743","business_name":"CAPITAL EYE CARE LLC"}}]},
{"provider_group_id":1885487124,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1003885856,1205569159,1225049554,1225390446,1326489816,1457586299,1457664302,1487115010,1487668075,1548332042,1578605002,1588654040,1659716439,1679078083,1720281181,1740456920,1861834145,1902933286],"tin":{"type":"ein","value":"742518398","business_name":"VISIONARY EYE DOCTORS"}}]},
{"provider_group_id":1885487125,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013098748,1013323500,1104356815,1144397258,1164625562,1306341771,1316029739,1356894869,1366523102,1366530131,1477848034,1528100211,1639527682,1700272408,1811965981,1881156149,1902274574,1912095019,1912656372,1922615103,1992928352],"tin":{"type":"ein","value":"141844066","business_name":"DULLES EYE ASSOC"}}]},
{"provider_group_id":1885487126,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013200104,1790887800,1861435570],"tin":{"type":"ein","value":"541767134","business_name":"CORNEA CONSULTANTS PC"}}]},
{"provider_group_id":1885487127,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013204619],"tin":{"type":"ein","value":"471201762","business_name":"APPLE HILL EYE CENTER PC"}}]},
{"provider_group_id":1885487128,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1013948298,1083266290,1174781686,1255584793,1275536971,1306877683,1336982750,1548215007,1558391292,1558894923,1588225833,1669451951,1710212238,1720173594,1730110966,1740971787,1821028382,1861484735,1932817608],"tin":{"type":"ein","value":"520741401","business_name":"BARENBURG EYE ASSOC"}}]},
{"provider_group_id":1885487129,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023056306,1104976760,1366475089,1710083258],"tin":{"type":"ein","value":"522063813","business_name":"PAUL A TARANTINO MD PA"}}]},
{"provider_group_id":1885487130,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023247160],"tin":{"type":"ein","value":"822717705","business_name":"OVATION EYE INSTITUTE LLC"}}]},
{"provider_group_id":1885487131,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1023328598,1033400833,1043937402,1053307595,1093009839,1104823459,1114958071,1184670366,1194994053,1205568797,1255339891,1265667240,1275525750,1316051808,1336116979,1336625870,1346228665,1356734560,1356980619,1386816601,1447510953,1447678487,1457655862,1487110656,1538219084,1538589106,1558340836,1558894923,1619074754,1619097698,1679513022,1679970057,1689671463,1699327304,1710984356,1740288109,1770836355,1790906378,1831435023,1861442709,1861671729,1871181396,1992807374],"tin":{"type":"ein","value":"522000021","business_name":"KATZEN MEDICAL ASSOC PC"}}]},
{"provider_group_id":1885487132,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1033433925,1053548917,1295309003,1689840803,1790162485,1790946234,1861011702,1871971895,1992964837],"tin":{"type":"ein","value":"541168250","business_name":"EYE CONSULTANTS OF NORTHERN VIRGINIA PC"}}]},
{"provider_group_id":1885487133,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1053487736,1093756124,1144586942,1215000369,1285948836,1487689139,1528131703,1558374082,1588866818,1629065149,1912437872,1982696654],"tin":{"type":"ein","value":"550740986","business_name":"REGIONAL EYE ASSOC INC"}}]},
{"provider_group_id":1885487134,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1063591402,1174568695,1184912347,1205874641,1306844113,1316172489,1336374115,1336423185,1366536153,1407009228,1437186350,1447788054,1578833802,1649255670,1831121003,1952670044,1952892671],"tin":{"type":"ein","value":"521759220","business_name":"EYE DOCTORS OF WASHINGTON PC"}}]},
{"provider_group_id":1885487135,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1083704522,1659474872],"tin":{"type":"ein","value":"473070107","business_name":"SALMAN ALI MD"}}]},
{"provider_group_id":1885487136,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1083979173,1124654710,1912429622,1932194891],"tin":{"type":"ein","value":"743156665","business_name":"MY EYE DR"}}]},
{"provider_group_id":1885487137,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1104930817,1255371407,1871634972],"tin":{"type":"ein","value":"454877273","business_name":"FIRST SIGHT VISION CARE LLC"}}]},
{"provider_group_id":1885487138,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1114968336],"tin":{"type":"ein","value":"300711508","business_name":"MARYLAND EYE CENTER"}}]},
{"provider_group_id":1885487139,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1124180880],"tin":{"type":"ein","value":"521945970","business_name":"RUXTON TOWERS EYE ASSOC"}}]},
{"provider_group_id":1885487140,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1134151012,1386780641,1417080102,1497744205,1508436759,1588696165,1659532372,1770947723],"tin":{"type":"ein","value":"472357484","business_name":"SOLOMON EYE PHYSICIANS AND SURGEONS LLC"}}]},
{"provider_group_id":1885487141,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1134234735,1881360196],"tin":{"type":"ein","value":"043677931","business_name":"GOODMAN EYECARE CENTER LLC"}}]},
{"provider_group_id":1885487142,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1134234735],"tin":{"type":"ein","value":"113763525","business_name":"MYEYEDR"}}]},
{"provider_group_id":1885487143,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1134234735,1285151910,1285293100,1295778124,1437502796,1649366113],"tin":{"type":"ein","value":"262491705","business_name":"MY EYE DR"}}]},
{"provider_group_id":1885487144,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1144255449,1154353944,1295052751,1487681284,1497315766,1528066917,1568510675,1578652293,1700017902,1700851383,1700872819,1720076045,1770586752,1841293826],"tin":{"type":"ein","value":"510378077","business_name":"DELAWARE EYE CARE CENTER"}}]},
{"provider_group_id":1885487145,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1154300309],"tin":{"type":"ein","value":"214600185","business_name":"DIANE R SEREX DOUGAN"}}]},
{"provider_group_id":1885487146,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1174502132,1972521623],"tin":{"type":"ein","value":"540899712","business_name":"YUILL BLACK MD AND MICHAEL R KLETZ MD PC"}}]},
{"provider_group_id":1885487147,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1174722763,1992157564],"tin":{"type":"ein","value":"831225368","business_name":"PRECISION EYE CARE"}}]},
{"provider_group_id":1885487148,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1184454381,1225133499,1235660051,1275078545,1285293100,1326092958,1457664302,1659708295,1669968509,1740444181,1750820320],"tin":{"type":"ein","value":"200675703","business_name":"MARYLAND EYE CARE CENTER"}}]},
{"provider_group_id":1885487149,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1205098910],"tin":{"type":"ein","value":"823029718","business_name":"MARYLAND RETINA INSTITUTE LLC"}}]},
{"provider_group_id":1885487150,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1205106648],"tin":{"type":"ein","value":"743091460","business_name":"MY EYE DR"}}]},
{"provider_group_id":1885487151,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1205106648],"tin":{"type":"ein","value":"821585671","business_name":"IDEAL FAMILY EYE CARE"}}]},
{"provider_group_id":1885487152,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1205827003],"tin":{"type":"ein","value":"473400183","business_name":"MLBOD LLC"}}]},
{"provider_group_id":1885487153,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1205846102,1386724334,1497752596,1578534228,1932130945],"tin":{"type":"ein","value":"520907495","business_name":"OPHTHALMOLOGY ASSOC OF GREATER ANNAPOLIS"}}]},
{"provider_group_id":1885487154,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1235168618],"tin":{"type":"ein","value":"464384082","business_name":"GERMANTOWN RETINA"}}]},
{"provider_group_id":1885487155,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1245255769,1629746052],"tin":{"type":"ein","value":"823443209","business_name":"FEDERAL HILL PRACTICE LLC"}}]},
{"provider_group_id":1885487156,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1245267798],"tin":{"type":"ein","value":"453555149","business_name":"SPECIALIZED EYE CARE PA"}}]},
{"provider_group_id":1885487157,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1245405240,1275796229,1285019109,1699837286,1790888006],"tin":{"type":"ein","value":"455590964","business_name":"MARYLAND VISION INSTITUTE"}}]},
{"provider_group_id":1885487158,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1255338307,1750391579,1760117170],"tin":{"type":"ein","value":"320190109","business_name":"ANNE ARUNDEL EYE CENTER"}}]},
{"provider_group_id":1885487159,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1255342713],"tin":{"type":"ein","value":"521041897","business_name":"RAYMOND W DOYLE"}}]},
{"provider_group_id":1885487160,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1265827745,1700182151],"tin":{"type":"ein","value":"824585184","business_name":"VISION MD LLC"}}]},
{"provider_group_id":1885487161,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1275022535,1306341771,1538361423,1639468960,1952569469,1972921864],"tin":{"type":"ein","value":"811574512","business_name":"VIRGINIA RETINA SPECIALISTS PLLC"}}]},
{"provider_group_id":1885487162,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1285293100],"tin":{"type":"ein","value":"461634131","business_name":"MY EYE DR VIENNA"}}]},
{"provider_group_id":1885487163,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1285662080],"tin":{"type":"ein","value":"843230508","business_name":"RETINA FIRST LLC"}}]},
{"provider_group_id":1885487164,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1295230100,1679893952,1700837192],"tin":{"type":"ein","value":"205076351","business_name":"RUTZEN EYE SPECIALISTS LLC"}}]},
{"provider_group_id":1885487165,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1306807508,1720061443,1801891403,1922030907],"tin":{"type":"ein","value":"521903707","business_name":"CHESAPEAKE EYE CENTER"}}]},
{"provider_group_id":1885487166,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1306874383,1326501537,1356381974,1831621440,1851328314,1962522672],"tin":{"type":"ein","value":"521039416","business_name":"MEDICAL EYE CENTER PA"}}]},
{"provider_group_id":1885487167,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1306928965],"tin":{"type":"ein","value":"471106879","business_name":"WHITTENLASEREYE LLC"}}]},
{"provider_group_id":1885487168,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1356402523],"tin":{"type":"ein","value":"522102537","business_name":"JAMES AND DYER MD"}}]},
{"provider_group_id":1885487169,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1396381315,1790347904,1790951986,1891257069],"tin":{"type":"ein","value":"460881159","business_name":"MARYLAND VISION CENTER"}}]},
{"provider_group_id":1885487170,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1396975355,1598816944,1811968167],"tin":{"type":"ein","value":"461116232","business_name":"PEARLE VISION"}}]},
{"provider_group_id":1885487171,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1407882129],"tin":{"type":"ein","value":"521092719","business_name":"BRULL AND HONIG MD PA AND ASSOC"}}]},
{"provider_group_id":1885487172,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1427272640,1447396700,1821068107,1851732283,1912942632,1982632402],"tin":{"type":"ein","value":"300035641","business_name":"CHARM CITY OPTICAL INC"}}]},
{"provider_group_id":1885487173,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1447239504,1679513022,1720280852,1730590431,1811990039,1841293040],"tin":{"type":"ein","value":"521622192","business_name":"AZAR AND FILIPOV MD PA"}}]},
{"provider_group_id":1885487174,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1487681284],"tin":{"type":"ein","value":"521500051","business_name":"ANDREW M BERMAN OD"}}]},
{"provider_group_id":1885487175,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1518372853],"tin":{"type":"ein","value":"522032553","business_name":"BALTIMORE WASHINGTON EYE CENTER"}}]},
{"provider_group_id":1885487176,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1518372853],"tin":{"type":"ein","value":"882552794","business_name":"HORIZON EYE PHYSICIANS LLC"}}]},
{"provider_group_id":1885487177,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1538366588],"tin":{"type":"ein","value":"264035965","business_name":"AMERICAN EYECARE CENTER"}}]},
{"provider_group_id":1885487178,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1578963310],"tin":{"type":"ein","value":"333244807","business_name":"SHORE REGIONAL EYE CARE LLC"}}]},
{"provider_group_id":1885487179,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1598893596],"tin":{"type":"ein","value":"844776063","business_name":"ENVUE EYE AND LASER CENTER LLC"}}]},
{"provider_group_id":1885487180,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1659532372,1831222355],"tin":{"type":"ein","value":"521747101","business_name":"THOMPSON VISION CARE"}}]},
{"provider_group_id":1885487181,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1679633077],"tin":{"type":"ein","value":"453767999","business_name":"AMLAMI 2 INC"}}]},
{"provider_group_id":1885487182,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1689611691],"tin":{"type":"ein","value":"205159711","business_name":"LUDWICK LASER AND SURGERY CENTER LLC"}}]},
{"provider_group_id":1885487183,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1689777039],"tin":{"type":"ein","value":"521881309","business_name":"WEINTRAUB AND KESSLER LLC"}}]},
{"provider_group_id":1885487184,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1699748590],"tin":{"type":"ein","value":"270925770","business_name":"VISTA EYE CENTER"}}]},
{"provider_group_id":1885487185,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1710937859],"tin":{"type":"ein","value":"815070577","business_name":"MACQUAID EYE INSTITUTE"}}]},
{"provider_group_id":1885487186,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1730376583],"tin":{"type":"ein","value":"831920307","business_name":"BRIAN J LEE MD LLC"}}]},
{"provider_group_id":1885487187,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1770676017],"tin":{"type":"ein","value":"843113842","business_name":"RETINA AND UVEITIS CENTER"}}]},
{"provider_group_id":1885487188,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1902809973],"tin":{"type":"ein","value":"200534267","business_name":"DELMARVA LASER EYE CENTER"}}]},
{"provider_group_id":1885487189,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1932362621],"tin":{"type":"ein","value":"833431219","business_name":"KLH EYES LLC"}}]},
{"provider_group_id":1885487190,"network_name":["EHP Non PCP Network"],"provider_groups":[{"npi":[1992820641],"tin":{"type":"ein","value":"820785081","business_name":"GREATER BALTIMORE RETINA"}}]}
], "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, 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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]},
{"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":[1885487121]}]}]}

