{"reporting_entity_name":"PacificSource Health Plans","reporting_entity_type":"Health Insurance Issuer","last_updated_on":"2026-04-28","out_of_network":[{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":94.36,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.88,"providers":[{"billed_charge":135.12,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":264.83,"npi":[1609812445]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"202906366"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":798.0,"npi":[1639568314]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1089.0,"npi":[1033422654]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[1073599478]},{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":31.48,"npi":[]},{"billed_charge":33.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]},{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":32.0,"npi":[1073599478]},{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":73.59,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":40.0,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":59.5,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":178.35,"npi":[1609812445]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1467474437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":136.11,"npi":[1073599478]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1508061060]}]},{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1962954115]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.97,"providers":[{"billed_charge":236.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.48,"providers":[{"billed_charge":202.65,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":267.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":45.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":14.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":116.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":154.8,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":83.55,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.05,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.14,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":265.81,"providers":[{"billed_charge":425.7,"npi":[1437310554]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]},{"billed_charge":430.0,"npi":[1114798071]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":65.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":117.52,"npi":[1073599478]},{"billed_charge":102.93,"npi":[1073599478]},{"billed_charge":132.51,"npi":[]},{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":94.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]},{"billed_charge":30.82,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":115.83,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":36.69,"npi":[]},{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":47.75,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":65.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":2.93,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":64.7,"npi":[1073599478]},{"billed_charge":28.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":114.74,"npi":[]},{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":206.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":52.79,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":29.72,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":177.94,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":47.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]},{"billed_charge":44.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.28,"npi":[1073599478]},{"billed_charge":59.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]},{"billed_charge":131.92,"npi":[]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":6.0,"npi":[1568077584]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1184286031]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":46.24,"npi":[1073599478]},{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.57,"providers":[{"billed_charge":830.97,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":87.6,"npi":[1073599478]},{"billed_charge":133.52,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":89.48,"providers":[{"billed_charge":876.0,"npi":[1255894580,1518957836]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":232.65,"providers":[{"billed_charge":345.0,"npi":[1770554859]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":147.76,"npi":[1073599478]},{"billed_charge":213.15,"npi":[]},{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":114.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82024","description":"Assay Of Adrenocorticotropic Hormone (Acth)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.46,"providers":[{"billed_charge":279.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":189.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":149.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.1,"providers":[{"billed_charge":38.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":101.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":45.88,"npi":[]},{"billed_charge":30.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":77.26,"npi":[]},{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":141.26,"npi":[]},{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":70.63,"npi":[]},{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":105.86,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":43.52,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.99,"providers":[{"billed_charge":128.0,"npi":[1376075259]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":133.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":178.35,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7738726","description":"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":42.57,"providers":[{"billed_charge":86.9,"npi":[1033346770,1326509662,1356669279,1588795140,1811100746]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"200277709"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":193.0,"providers":[{"billed_charge":534.0,"npi":[1740273614]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":34.0,"providers":[{"billed_charge":34.0,"npi":[1770554859]}]},{"allowed_amount":17.42,"providers":[{"billed_charge":34.0,"npi":[1336245943]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":19.51,"providers":[{"billed_charge":28.6,"npi":[1083822068]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1548849656]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":120.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731QZ","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1730281502]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]},{"billed_charge":68.43,"npi":[]},{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":203.4,"npi":[1538144910]},{"billed_charge":282.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":169.17,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":212.6,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":165.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":101.81,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":355.0,"npi":[1184286031,1548400682]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1366413486]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":895.0,"npi":[1942751052]}]}]},{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1285861989]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":626.0,"npi":[1962645028]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":426.0,"npi":[1659784148,1750825931]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":111.0,"npi":[1073599478]},{"billed_charge":254.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":107.04,"npi":[1073599478]}]},{"allowed_amount":8.54,"providers":[{"billed_charge":38.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":35.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1528509767]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":58.26,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":65.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":80.81,"npi":[1073599478]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":49.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":48.14,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":62.8,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":572.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":108.24,"providers":[{"billed_charge":573.16,"npi":[1609858729]}]},{"allowed_amount":27.06,"providers":[{"billed_charge":148.99,"npi":[1609858729]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]},{"billed_charge":28.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":189.71,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":103.86,"npi":[1073599478]},{"billed_charge":91.01,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":247.46,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":570.45,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":215.16,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":184.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":262.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":24.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.97,"providers":[{"billed_charge":236.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930623390"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1145.0,"npi":[1265990139]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2400.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":518.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":21.79,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":189.35,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":480.0,"npi":[1649853052]}]},{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1942775721]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1821075565]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930798039"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":123.28,"providers":[{"billed_charge":336.0,"npi":[1659012631]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":387.2,"npi":[1073606331,1326572306,1467816041,1477074250]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":89.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Transplant CT scan OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7125026","description":"Computed tomography, thorax, diagnostic; without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":128.74,"providers":[{"billed_charge":167.2,"npi":[1134892656,1407598121,1538101456,1609810902,1669736500]}]}]}]},{"name":"Transplant office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0545","description":"Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":109.73,"providers":[{"billed_charge":146.3,"npi":[1255648275,1790945871]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":58.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":38.81,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":12.66,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":15.08,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":164.93,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":119.77,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":223.12,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":207.71,"npi":[1538144910]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":61.48,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":157.21,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":206.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1063450120]}]}]},{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1649408055]}]},{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1649408055]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":160.0,"providers":[{"billed_charge":160.0,"npi":[]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":230.49,"npi":[]},{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":121.71,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":54.15,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":59.53,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":28.63,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":234.01,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":234.02,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1558843326,1649408055]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":105.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"911742914"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":23.59,"providers":[{"billed_charge":50.0,"npi":[1306849955]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]},{"billed_charge":73.59,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":27.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":57.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":113.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":61.21,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":117.7,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":108.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":41.67,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":45.88,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":29.72,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":77.0,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":87.0,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":118.65,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"DME tens unit rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0730RR","description":"Tens Four Lead","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":20.65,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8762559","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":142.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]},{"allowed_amount":8.29,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":48.5,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":198.27,"npi":[1073599478]},{"billed_charge":119.9,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":205.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":144.9,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":92.79,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1528039484]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":90.9,"providers":[{"billed_charge":101.0,"npi":[1528039484]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86708","description":"Hepatitis A antibody (HAAb)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":109.33,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":1494.0,"npi":[1144429994]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"853127716"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":65.0,"npi":[1992959472]},{"billed_charge":70.0,"npi":[1992959472]}]}]},{"tin":{"type":"ein","value":"931268720"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":93.75,"npi":[1376674929]},{"billed_charge":89.29,"npi":[1376674929]}]}]},{"tin":{"type":"ein","value":"274425994"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1710046826]}]}]},{"tin":{"type":"ein","value":"800548034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1104324672,1104959360]}]}]},{"tin":{"type":"ein","value":"412031959"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":89.29,"npi":[1235280595]}]}]},{"tin":{"type":"ein","value":"824431687"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1679612410]}]}]},{"tin":{"type":"ein","value":"873384482"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":95.0,"npi":[1942773049]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":62.0,"npi":[]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":63.43,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.24,"providers":[{"billed_charge":587.0,"npi":[1699782722]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":718.0,"npi":[1508098286]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1144937442,1659145548,1891492773]}]},{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1144937442,1386002038,1659145548]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1538144910]},{"billed_charge":26.25,"npi":[1033196001,1538144910]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]},{"billed_charge":53.01,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1386002038,1659145548,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":44.0,"npi":[1144937442,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":47.0,"npi":[1144937442,1659145548]},{"billed_charge":50.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":37.25,"npi":[1538144910]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":231.51,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]},{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":128.29,"npi":[1689639544]},{"billed_charge":256.58,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","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","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.17,"providers":[{"billed_charge":266.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9701259","description":"Application, Modality To 1+ Areas; Traction, Mechanical","allowed_amounts":[{"tin":{"type":"ein","value":"800548034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.17,"providers":[{"billed_charge":25.0,"npi":[1104324672,1104959360]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97032","description":"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.7,"providers":[{"billed_charge":40.0,"npi":[1184128845,1992023766]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":68.0,"npi":[1780327106]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":66.0,"npi":[1780327106]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1548213457]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"800548034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1104959360]}]}]},{"tin":{"type":"ein","value":"853127716"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":65.0,"npi":[1992959472]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":737.0,"npi":[1598744658]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97153","description":"Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or QHC professional, face-to-face with one patient, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"273321637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":195.91,"providers":[{"billed_charge":550.0,"npi":[1881340099]}]},{"allowed_amount":213.72,"providers":[{"billed_charge":600.0,"npi":[1881340099]}]},{"allowed_amount":391.82,"providers":[{"billed_charge":1100.0,"npi":[1881340099]}]},{"allowed_amount":178.1,"providers":[{"billed_charge":500.0,"npi":[1881340099]}]},{"allowed_amount":231.53,"providers":[{"billed_charge":650.0,"npi":[1881340099]}]},{"allowed_amount":409.63,"providers":[{"billed_charge":1150.0,"npi":[1881340099]}]},{"allowed_amount":427.44,"providers":[{"billed_charge":1200.0,"npi":[1881340099]}]},{"allowed_amount":445.25,"providers":[{"billed_charge":1250.0,"npi":[1881340099]}]}]},{"tin":{"type":"ein","value":"842222089"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":222.08,"providers":[{"billed_charge":720.0,"npi":[1558720219]}]},{"allowed_amount":138.8,"providers":[{"billed_charge":450.0,"npi":[1558720219]}]},{"allowed_amount":194.32,"providers":[{"billed_charge":630.0,"npi":[1558720219]}]},{"allowed_amount":249.84,"providers":[{"billed_charge":810.0,"npi":[1558720219]}]},{"allowed_amount":263.72,"providers":[{"billed_charge":855.0,"npi":[1558720219]}]},{"allowed_amount":180.44,"providers":[{"billed_charge":585.0,"npi":[1558720219]}]},{"allowed_amount":277.6,"providers":[{"billed_charge":900.0,"npi":[1558720219]}]}]},{"tin":{"type":"ein","value":"273321637"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":213.72,"providers":[{"billed_charge":600.0,"npi":[1881340099]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9715595","description":"Adaptive behavior treatment w/ protocol mod, administered by physician or QHC professional, may incl simultaneous direction of tech, face-to-face with 1 patient, each 15 mins","allowed_amounts":[{"tin":{"type":"ein","value":"842222089"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":149.92,"providers":[{"billed_charge":360.0,"npi":[1558720219]}]},{"allowed_amount":187.4,"providers":[{"billed_charge":450.0,"npi":[1356158166,1558720219]}]},{"allowed_amount":224.88,"providers":[{"billed_charge":540.0,"npi":[1356158166]}]},{"allowed_amount":93.7,"providers":[{"billed_charge":225.0,"npi":[1558720219]}]},{"allowed_amount":74.96,"providers":[{"billed_charge":180.0,"npi":[1558720219]}]},{"allowed_amount":112.44,"providers":[{"billed_charge":270.0,"npi":[1558720219]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":162.27,"providers":[{"billed_charge":297.28,"npi":[1780815027]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4088","description":"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":47.28,"providers":[{"billed_charge":795.0,"npi":[1134151699]},{"billed_charge":996.0,"npi":[1134151699]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]},{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":360.52,"npi":[1487646360]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":64.5,"providers":[{"billed_charge":216.0,"npi":[1639160708]}]},{"allowed_amount":322.5,"providers":[{"billed_charge":1080.0,"npi":[1639160708]}]},{"allowed_amount":328.5,"providers":[{"billed_charge":1080.0,"npi":[1639160708]}]},{"allowed_amount":193.5,"providers":[{"billed_charge":391.5,"npi":[1639160708]}]},{"allowed_amount":197.1,"providers":[{"billed_charge":391.5,"npi":[1639160708]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"870301301"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":415.53,"providers":[{"billed_charge":1272.0,"npi":[1548792187,1669122883,1679136758,1841213691]}]},{"allowed_amount":320.95,"providers":[{"billed_charge":1272.0,"npi":[1417995374,1619314036]}]}]},{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":906.0,"npi":[1821436080]}]}]}]},{"name":"Flu shot all ages","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":36.85,"providers":[{"billed_charge":62.0,"npi":[1215688346]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2400.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":157.21,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]},{"billed_charge":150.38,"npi":[1073599478]},{"billed_charge":148.61,"npi":[1073599478]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":80.83,"npi":[]},{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":131.73,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[]},{"billed_charge":97.63,"npi":[]},{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":117.52,"npi":[1073599478]}]},{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]},{"billed_charge":63.17,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":176.04,"providers":[{"billed_charge":186.29,"npi":[1710465653]}]},{"allowed_amount":178.05,"providers":[{"billed_charge":186.29,"npi":[1538691241,1750502928]},{"billed_charge":223.27,"npi":[1750502928]}]},{"allowed_amount":151.34,"providers":[{"billed_charge":223.27,"npi":[1285937318]},{"billed_charge":186.29,"npi":[1285937318,1346725678]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":177.44,"providers":[{"billed_charge":267.19,"npi":[1285166512]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":133.62,"providers":[{"billed_charge":211.2,"npi":[1760113260]},{"billed_charge":228.73,"npi":[1578184537]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99291","description":"Critical Care, Evaluation & Management; First 30-74 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"471696666"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":954.25,"providers":[{"billed_charge":978.11,"npi":[1437187978,1790109882]}]},{"allowed_amount":853.6,"providers":[{"billed_charge":1195.5,"npi":[1114343415,1568764017,1871962043]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.0,"providers":[{"billed_charge":32.0,"npi":[1497715866]}]},{"allowed_amount":47.16,"providers":[{"billed_charge":52.0,"npi":[1588292734]}]}]},{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.55,"providers":[{"billed_charge":43.94,"npi":[]},{"billed_charge":29.9,"npi":[]},{"billed_charge":47.57,"npi":[]}]},{"allowed_amount":6.65,"providers":[{"billed_charge":134.4,"npi":[1073599478]},{"billed_charge":47.57,"npi":[1073599478]},{"billed_charge":65.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":54.9,"npi":[1063497451]},{"billed_charge":48.3,"npi":[1295726032,1538144910]}]},{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1295726032,1932184322]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":74.1,"npi":[1790721538]},{"billed_charge":100.75,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":52.5,"npi":[1073599478]},{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":33.0,"npi":[1073599478]},{"billed_charge":48.3,"npi":[]},{"billed_charge":53.55,"npi":[1073599478]}]},{"allowed_amount":8.91,"providers":[{"billed_charge":40.0,"npi":[]},{"billed_charge":48.3,"npi":[]},{"billed_charge":51.45,"npi":[]},{"billed_charge":46.0,"npi":[]},{"billed_charge":53.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[1295726032]},{"billed_charge":107.1,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":48.0,"npi":[]},{"billed_charge":107.1,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":51.0,"npi":[]},{"billed_charge":103.95,"npi":[1073599478]},{"billed_charge":106.7,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":102.9,"npi":[]},{"billed_charge":54.31,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":17.05,"npi":[]}]},{"allowed_amount":2.76,"providers":[{"billed_charge":17.05,"npi":[]},{"billed_charge":22.92,"npi":[]},{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.8,"providers":[{"billed_charge":87.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":59.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82397","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":100.0,"npi":[1245494517]}]},{"allowed_amount":14.09,"providers":[{"billed_charge":107.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":30.56,"npi":[]},{"billed_charge":31.05,"npi":[]},{"billed_charge":30.78,"npi":[]}]},{"allowed_amount":4.55,"providers":[{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":32.0,"npi":[]},{"billed_charge":35.78,"npi":[]},{"billed_charge":66.46,"npi":[1073599478]},{"billed_charge":23.69,"npi":[1073599478]},{"billed_charge":31.48,"npi":[]},{"billed_charge":31.25,"npi":[]},{"billed_charge":34.01,"npi":[]},{"billed_charge":61.48,"npi":[]}]},{"allowed_amount":4.68,"providers":[{"billed_charge":32.0,"npi":[]},{"billed_charge":23.62,"npi":[]},{"billed_charge":60.87,"npi":[]},{"billed_charge":66.46,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.39,"providers":[{"billed_charge":50.5,"npi":[]}]},{"allowed_amount":7.5,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":105.0,"npi":[]}]},{"allowed_amount":14.9,"providers":[{"billed_charge":129.42,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351691","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":159.43,"npi":[1245494517]},{"billed_charge":61.69,"npi":[1245494517]}]},{"allowed_amount":11.37,"providers":[{"billed_charge":149.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8352059","description":"Immunoassay, Analyte, Quantitative; Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.0,"providers":[{"billed_charge":92.39,"npi":[1245494517]}]},{"allowed_amount":36.0,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":44.61,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.63,"providers":[{"billed_charge":61.76,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]},{"allowed_amount":8.06,"providers":[{"billed_charge":22.82,"npi":[1073599478]},{"billed_charge":45.9,"npi":[1073599478]},{"billed_charge":49.43,"npi":[1073599478]},{"billed_charge":53.13,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.24,"providers":[{"billed_charge":62.74,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":31.25,"npi":[]},{"billed_charge":31.48,"npi":[]},{"billed_charge":32.0,"npi":[]}]},{"allowed_amount":4.69,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.58,"npi":[]},{"billed_charge":26.6,"npi":[]},{"billed_charge":26.39,"npi":[]}]},{"allowed_amount":3.89,"providers":[{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]},{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":157.2,"npi":[]},{"billed_charge":179.08,"npi":[]},{"billed_charge":141.75,"npi":[1073599478]},{"billed_charge":181.72,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":29.86,"npi":[]},{"billed_charge":30.1,"npi":[]},{"billed_charge":30.08,"npi":[]}]},{"allowed_amount":4.41,"providers":[{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":215.85,"npi":[1073599478]},{"billed_charge":186.73,"npi":[]},{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.84,"providers":[{"billed_charge":126.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.47,"npi":[]},{"billed_charge":29.35,"npi":[]},{"billed_charge":28.68,"npi":[]}]},{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[1295726032]}]},{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[1932184322]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":22.16,"npi":[1073599478]}]},{"allowed_amount":7.04,"providers":[{"billed_charge":25.0,"npi":[]},{"billed_charge":31.0,"npi":[]},{"billed_charge":21.85,"npi":[]},{"billed_charge":39.9,"npi":[]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":24.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.99,"providers":[{"billed_charge":34.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1790721538]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":44.55,"npi":[1073599478]},{"billed_charge":71.4,"npi":[1073599478]}]},{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[1932184322]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.24,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]},{"allowed_amount":51.7,"providers":[{"billed_charge":254.5,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":156.44,"npi":[1538144910]}]},{"allowed_amount":11.13,"providers":[{"billed_charge":161.12,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":136.33,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":112.41,"npi":[]}]},{"allowed_amount":14.65,"providers":[{"billed_charge":27.7,"npi":[1073599478]},{"billed_charge":107.1,"npi":[]}]}]},{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.41,"providers":[{"billed_charge":79.55,"npi":[1245494517]}]},{"allowed_amount":16.58,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8748159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"223510467"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.14,"providers":[{"billed_charge":130.0,"npi":[1750373908]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.2,"providers":[{"billed_charge":263.2,"npi":[1245198084]}]},{"allowed_amount":182.1,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]},{"allowed_amount":69.68,"providers":[{"billed_charge":105.28,"npi":[1245198084]}]},{"allowed_amount":72.1,"providers":[{"billed_charge":105.28,"npi":[1619618469]}]},{"allowed_amount":77.2,"providers":[{"billed_charge":105.28,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.08,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.37,"npi":[]},{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]},{"billed_charge":144.42,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.2,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]},{"allowed_amount":36.57,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":72.4,"providers":[{"billed_charge":105.28,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764059","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.35,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]},{"billed_charge":131.98,"npi":[]}]},{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]},{"billed_charge":126.46,"npi":[]},{"billed_charge":144.9,"npi":[]}]}]}]},{"name":"Mammography age 50 and over","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":68.86,"providers":[{"billed_charge":109.18,"npi":[1386067478,1932661154]}]},{"allowed_amount":67.51,"providers":[{"billed_charge":100.81,"npi":[1245264399,1386067478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":16.0,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":198.34,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":47.72,"npi":[]},{"billed_charge":125.71,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.47,"providers":[{"billed_charge":58.8,"npi":[]}]},{"allowed_amount":3.53,"providers":[{"billed_charge":20.86,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":20.86,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":32.0,"npi":[]},{"billed_charge":75.6,"npi":[1073599478]},{"billed_charge":98.9,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":39.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":4.37,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.25,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":124.95,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":62.74,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":31.5,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":177.45,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":31.8,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"990730349"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":89.45,"providers":[{"billed_charge":123.84,"npi":[1457656886]}]}]},{"tin":{"type":"ein","value":"331849153"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":275.0,"npi":[1154723120,1780150979]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832660588"},"service_code":["10","02"],"billing_class":"professional","payments":[{"allowed_amount":123.8,"providers":[{"billed_charge":250.0,"npi":[1154103588]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"882977235"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":112.54,"providers":[{"billed_charge":198.0,"npi":[1912402348]}]},{"allowed_amount":114.79,"providers":[{"billed_charge":198.0,"npi":[1912402348]}]}]},{"tin":{"type":"ein","value":"263737594"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":74.41,"providers":[{"billed_charge":200.0,"npi":[1487664603]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":10.5,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":61.48,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.56,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"OB lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":12.0,"npi":[1134013956]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453825517"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":169.82,"providers":[{"billed_charge":240.0,"npi":[1104700046,1881417244]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1629187638]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":199.77,"providers":[{"billed_charge":240.0,"npi":[1083294227]}]},{"allowed_amount":169.82,"providers":[{"billed_charge":240.0,"npi":[1982398038]}]}]},{"tin":{"type":"ein","value":"870281028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":189.0,"npi":[1598495855]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":142.14,"providers":[{"billed_charge":244.8,"npi":[1114910296,1154323392,1548729734]}]},{"allowed_amount":106.61,"providers":[{"billed_charge":244.8,"npi":[1730994484]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9920325","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":127.92,"providers":[{"billed_charge":200.0,"npi":[1952715609]}]},{"allowed_amount":120.83,"providers":[{"billed_charge":200.0,"npi":[1740680925]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":515.59,"providers":[{"billed_charge":528.48,"npi":[1073603692,1184802035,1235624685]},{"billed_charge":629.2,"npi":[1033522107]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.0,"providers":[{"billed_charge":437.0,"npi":[1013086693]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1669875886,1902379290]}]},{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1154649440,1235624685,1255656120,1699076224,1902888126]}]},{"allowed_amount":437.78,"providers":[{"billed_charge":437.78,"npi":[1497288088]}]},{"allowed_amount":352.58,"providers":[{"billed_charge":437.78,"npi":[1114976537]}]},{"allowed_amount":356.19,"providers":[{"billed_charge":437.78,"npi":[1437689429,1619909314]}]},{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1235624685,1376773556,1447514120,1568858694]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":468.43,"providers":[{"billed_charge":468.43,"npi":[1346248465,1912387598]}]},{"allowed_amount":449.55,"providers":[{"billed_charge":449.55,"npi":[1457685919,1740504547]}]}]},{"tin":{"type":"ein","value":"911336707"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":298.42,"providers":[{"billed_charge":446.0,"npi":[1003929027]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97032","description":"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"261501890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.76,"providers":[{"billed_charge":25.0,"npi":[1427083807]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97035","description":"Application of a modality to 1 or more areas; ultrasound, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"261501890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.0,"providers":[{"billed_charge":15.0,"npi":[1427083807]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97113GP","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises","allowed_amounts":[{"tin":{"type":"ein","value":"870574059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":34.88,"providers":[{"billed_charge":74.0,"npi":[1083475586]}]},{"allowed_amount":99.88,"providers":[{"billed_charge":222.0,"npi":[1447740105]}]},{"allowed_amount":41.04,"providers":[{"billed_charge":74.0,"npi":[1083475586]}]},{"allowed_amount":72.57,"providers":[{"billed_charge":148.0,"npi":[1083475586]}]},{"allowed_amount":72.74,"providers":[{"billed_charge":148.0,"npi":[1083475586]}]},{"allowed_amount":129.3,"providers":[{"billed_charge":296.0,"npi":[1770601262]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":157.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[]},{"billed_charge":186.73,"npi":[]},{"billed_charge":31.8,"npi":[1073599478]},{"billed_charge":218.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":98.7,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":161.76,"npi":[1073599478]},{"billed_charge":119.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.87,"providers":[{"billed_charge":40.95,"npi":[]},{"billed_charge":47.25,"npi":[]}]},{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.92,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.36,"providers":[{"billed_charge":75.67,"npi":[]}]},{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":182.1,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":73.14,"providers":[{"billed_charge":105.28,"npi":[1619618469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.74,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.17,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":126.45,"npi":[]},{"billed_charge":141.55,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":132.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":264.06,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":68.78,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":264.08,"npi":[]}]},{"allowed_amount":64.61,"providers":[{"billed_charge":68.8,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":202.65,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":108.03,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":127.9,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":73.45,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[1073599478]},{"billed_charge":138.38,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]}]},{"name":"Precare xray adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":55.38,"providers":[{"billed_charge":88.38,"npi":[1386067478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.24,"providers":[{"billed_charge":587.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.74,"providers":[{"billed_charge":240.0,"npi":[1730466590]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8834226","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":102.81,"providers":[{"billed_charge":105.38,"npi":[1659831733]}]},{"allowed_amount":308.42,"providers":[{"billed_charge":316.14,"npi":[1578852661]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":102.81,"providers":[{"billed_charge":105.38,"npi":[1639315070]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":253.91,"providers":[{"billed_charge":437.78,"npi":[1114976537]}]},{"allowed_amount":253.92,"providers":[{"billed_charge":437.78,"npi":[1073067088,1114976537]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.0,"providers":[{"billed_charge":50.0,"npi":[1073067088,1114976537,1992895510]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1811174824]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":6.0,"npi":[1386876530]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.85,"providers":[{"billed_charge":240.0,"npi":[1154805729,1477286201,1538854138,1821529918]}]},{"allowed_amount":199.77,"providers":[{"billed_charge":240.0,"npi":[1689603219,1790723286]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":148.62,"providers":[{"billed_charge":273.0,"npi":[1386274553]}]},{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1215435136]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":148.86,"providers":[{"billed_charge":275.0,"npi":[1174284871,1508338187,1710315577,1851473961]}]},{"allowed_amount":168.71,"providers":[{"billed_charge":275.0,"npi":[1861029159]}]}]},{"tin":{"type":"ein","value":"833011825"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":113.87,"providers":[{"billed_charge":280.0,"npi":[1417581190]}]},{"allowed_amount":203.3,"providers":[{"billed_charge":280.0,"npi":[1417581190,1598866691]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1720430796]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":146.9,"providers":[{"billed_charge":391.0,"npi":[1902242365]}]}]}]},{"name":"Urgent care xray non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":19.66,"providers":[{"billed_charge":29.09,"npi":[1619311792]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":25.26,"providers":[{"billed_charge":28.36,"npi":[1871989822]},{"billed_charge":29.64,"npi":[1518450287,1992913974]}]},{"allowed_amount":27.67,"providers":[{"billed_charge":28.36,"npi":[1871989822]}]},{"allowed_amount":29.64,"providers":[{"billed_charge":29.64,"npi":[1386141984,1871989822,1992913974]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":19.66,"providers":[{"billed_charge":29.09,"npi":[1326256314]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":16.18,"providers":[{"billed_charge":51.0,"npi":[1972745404]}]}]},{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8239759","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.18,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8352059","description":"Immunoassay, Analyte, Quantitative; Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.0,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":79.21,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86146","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.12,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.24,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":53.04,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4161","description":"EF ped hydrolyzed/amino acid","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2079.0,"providers":[{"billed_charge":6714.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":67.79,"providers":[{"billed_charge":444.75,"npi":[1134151699]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9213426","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":63.75,"providers":[{"billed_charge":89.1,"npi":[1669675229]}]},{"allowed_amount":44.33,"providers":[{"billed_charge":89.1,"npi":[1669675229]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":159.43,"npi":[1245494517]}]},{"allowed_amount":22.98,"providers":[{"billed_charge":318.86,"npi":[1245494517]}]},{"allowed_amount":22.74,"providers":[{"billed_charge":298.0,"npi":[1245494517]}]},{"allowed_amount":25.37,"providers":[{"billed_charge":318.86,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]},{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[]},{"billed_charge":53.13,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":46.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":126.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.06,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]},{"allowed_amount":130.76,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]},{"allowed_amount":129.43,"providers":[{"billed_charge":627.55,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]},{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]},{"allowed_amount":6.24,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140359","description":"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions)","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.9,"providers":[{"billed_charge":740.8,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":585.8,"providers":[{"billed_charge":585.8,"npi":[1306108105]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":585.8,"providers":[{"billed_charge":585.8,"npi":[1558781674]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820516012"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":185.0,"npi":[1801519707]}]}]},{"tin":{"type":"ein","value":"453825517"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":185.0,"npi":[1023886397,1104700046]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":97.53,"providers":[{"billed_charge":223.0,"npi":[1255731014]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1518455054,1588820104]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1114272937,1902045271]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1063665719]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.79,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":469.69,"providers":[{"billed_charge":684.32,"npi":[1245198084]}]}]}]},{"name":"Surgery in office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17110","description":"Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions","allowed_amounts":[{"tin":{"type":"ein","value":"743097822"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":78.15,"providers":[{"billed_charge":300.0,"npi":[1336347103]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820516012"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":185.0,"npi":[1184307621]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.92,"providers":[{"billed_charge":28.14,"npi":[1013027085,1255567947]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"820482621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.0,"providers":[{"billed_charge":15.0,"npi":[1518986264]}]}]},{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1407948169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":767.08,"npi":[1356334577]},{"billed_charge":712.32,"npi":[1356334577]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"870301301"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":415.53,"providers":[{"billed_charge":1272.0,"npi":[1003654831]}]},{"allowed_amount":320.95,"providers":[{"billed_charge":1272.0,"npi":[1295105633,1417995374,1619314036,1891359212]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":22.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Hospital visit or service OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":176.04,"providers":[{"billed_charge":267.19,"npi":[1891114799]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":23.08,"npi":[]}]},{"allowed_amount":2.76,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":171.38,"npi":[]}]},{"allowed_amount":25.54,"providers":[{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]},{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[]}]},{"allowed_amount":19.64,"providers":[{"billed_charge":185.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":98.95,"npi":[1073599478]},{"billed_charge":107.31,"npi":[]},{"billed_charge":94.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":13.43,"npi":[1073599478]},{"billed_charge":43.05,"npi":[1073599478]},{"billed_charge":18.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]},{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1790721538]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8352059","description":"Immunoassay, Analyte, Quantitative; Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.0,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]},{"allowed_amount":3.03,"providers":[{"billed_charge":3.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":41.27,"npi":[]}]},{"allowed_amount":6.16,"providers":[{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":21.68,"npi":[]}]},{"allowed_amount":3.29,"providers":[{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":31.48,"npi":[]}]},{"allowed_amount":4.69,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]},{"allowed_amount":1.5,"providers":[{"billed_charge":1.5,"npi":[1073599478]}]},{"allowed_amount":3.04,"providers":[{"billed_charge":3.04,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":130.76,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":88.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87496","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":35.79,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.21,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]},{"billed_charge":285.26,"npi":[1689639544]}]},{"allowed_amount":142.68,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764159","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staph Aureus, Methicillin Resistant, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":35.1,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":501.79,"providers":[{"billed_charge":684.32,"npi":[1245198084]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":389.56,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":194.78,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":210.0,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":6.0,"npi":[1760498687]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":67.51,"providers":[{"billed_charge":100.81,"npi":[1952644239]}]},{"allowed_amount":68.86,"providers":[{"billed_charge":109.18,"npi":[1376540955,1386067478,1932661154]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":19.5,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":98.7,"npi":[1932184322]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99070","description":"Supplies Provided By Physician Over & Above Those Included In The Service","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.19,"providers":[{"billed_charge":101.19,"npi":[]}]},{"allowed_amount":43.64,"providers":[{"billed_charge":43.64,"npi":[]}]}]},{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1314.29,"providers":[{"billed_charge":1314.29,"npi":[]}]},{"allowed_amount":69.4,"providers":[{"billed_charge":69.4,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9920325","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.42,"providers":[{"billed_charge":274.0,"npi":[1003826439]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and straightforward decision making. Ttl time on the date of the encounter = 10 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.03,"providers":[{"billed_charge":137.0,"npi":[1659525665]}]},{"allowed_amount":68.66,"providers":[{"billed_charge":139.0,"npi":[1659525665,1760498687]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":25.0,"npi":[]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"262072378"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.09,"providers":[{"billed_charge":10.0,"npi":[1427436559]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":115.12,"npi":[]},{"billed_charge":97.21,"npi":[1073599478]}]},{"allowed_amount":13.59,"providers":[{"billed_charge":110.03,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":206.49,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]},{"billed_charge":153.99,"npi":[]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.26,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":78.92,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":446.25,"npi":[1932184322]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870326048"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":32.29,"providers":[{"billed_charge":155.0,"npi":[1790044816]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":173.16,"providers":[{"billed_charge":239.58,"npi":[1043411168]}]},{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168,1083973002,1558466177]}]},{"allowed_amount":343.68,"providers":[{"billed_charge":479.16,"npi":[1043411168,1689692576]}]}]},{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870326048"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":64.58,"providers":[{"billed_charge":310.0,"npi":[1497191860]}]},{"allowed_amount":32.29,"providers":[{"billed_charge":155.0,"npi":[1497191860]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":109.87,"providers":[{"billed_charge":112.62,"npi":[1881854107]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8836059","description":"Morphometric Analysis, Tumor Immunohistochemistry, Quantitative Or Semiquantitative, Ea Antibody; Manual","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":106.58,"providers":[{"billed_charge":200.0,"npi":[1740733708]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":507.7,"providers":[{"billed_charge":597.3,"npi":[1316014574]}]}]}]},{"name":"Urgent care xray non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":20.05,"providers":[{"billed_charge":31.5,"npi":[1164516878]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":37.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":22.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1922232867]}]},{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1922232867]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1588558019]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4088","description":"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":47.28,"providers":[{"billed_charge":795.0,"npi":[1134151699]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":118.83,"providers":[{"billed_charge":191.0,"npi":[1891958104]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.5,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]},{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351691","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":61.69,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":41.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.5,"providers":[{"billed_charge":254.5,"npi":[1245494517]}]},{"allowed_amount":53.04,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]},{"allowed_amount":55.99,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]},{"allowed_amount":26.52,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86148","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.58,"providers":[{"billed_charge":80.35,"npi":[1245494517]}]},{"allowed_amount":16.75,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]},{"allowed_amount":6.24,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]},{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.58,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]},{"allowed_amount":17.5,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]},{"allowed_amount":16.41,"providers":[{"billed_charge":79.55,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.57,"providers":[{"billed_charge":52.64,"npi":[1245198084,1619618469]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.74,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]},{"allowed_amount":35.24,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":111.63,"providers":[{"billed_charge":300.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.38,"providers":[{"billed_charge":282.9,"npi":[1245494517]}]},{"allowed_amount":62.5,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]},{"allowed_amount":58.98,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.81,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]},{"allowed_amount":38.22,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]},{"allowed_amount":38.61,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453825517"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":169.82,"providers":[{"billed_charge":240.0,"npi":[1104700046]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":513.61,"providers":[{"billed_charge":562.19,"npi":[1841707569]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"362193608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.94,"providers":[{"billed_charge":213.02,"npi":[1699826693]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.49,"providers":[{"billed_charge":222.0,"npi":[1255731014]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":99.49,"providers":[{"billed_charge":222.0,"npi":[1871962217]}]}]},{"tin":{"type":"ein","value":"453825517"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":185.0,"npi":[1104700046]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":232.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":149.74,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","allowed_amounts":[{"tin":{"type":"ein","value":"271296041"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.68,"providers":[{"billed_charge":75.0,"npi":[1174418487,1437208881]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.59,"providers":[{"billed_charge":313.18,"npi":[1467890137]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":345.0,"npi":[1386746998]}]}]},{"tin":{"type":"ein","value":"870622942"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":98.31,"providers":[{"billed_charge":354.0,"npi":[1467865329,1689998924]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":2461.65,"npi":[1366450793,1407803612,1528177151,1851384143]}]},{"allowed_amount":2461.65,"providers":[{"billed_charge":2461.65,"npi":[1366450793,1528177151]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":53.3,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":116.49,"providers":[{"billed_charge":192.0,"npi":[1891157210]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.74,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":78.5,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]},{"allowed_amount":13.63,"providers":[{"billed_charge":82.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":117.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":37.36,"npi":[1073599478]}]},{"allowed_amount":6.47,"providers":[{"billed_charge":33.09,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":117.6,"npi":[]}]},{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.32,"providers":[{"billed_charge":150.59,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.11,"providers":[{"billed_charge":103.23,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":62.52,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]},{"allowed_amount":22.09,"providers":[{"billed_charge":177.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":52.05,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.99,"providers":[{"billed_charge":34.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":118.74,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":119.7,"npi":[]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":115.44,"npi":[1073599478]},{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.72,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":127.33,"providers":[{"billed_charge":192.44,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]},{"allowed_amount":26.87,"providers":[{"billed_charge":144.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":56.99,"npi":[]},{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":220.5,"npi":[]},{"billed_charge":210.0,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":114.0,"npi":[]},{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":105.0,"npi":[]},{"billed_charge":110.24,"npi":[]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":501.79,"providers":[{"billed_charge":684.32,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":708.75,"npi":[]},{"billed_charge":220.51,"npi":[]}]},{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]},{"billed_charge":114.01,"npi":[]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":231.66,"providers":[{"billed_charge":315.9,"npi":[1245198084]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1619934817]}]}]},{"tin":{"type":"ein","value":"870286381"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.17,"providers":[{"billed_charge":9.1,"npi":[1528140878]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1497781926,1770997934,1881222008,1912632381,1922570373]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":18.0,"npi":[1174314306]}]},{"allowed_amount":2.7,"providers":[{"billed_charge":18.0,"npi":[1922774850]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10.68,"providers":[{"billed_charge":34.0,"npi":[1972764074]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036QW","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.91,"providers":[{"billed_charge":23.0,"npi":[1770997934]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"850596327"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":200.0,"npi":[1952129231]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"Occupational therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GO","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"113825207"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":71.71,"providers":[{"billed_charge":100.0,"npi":[1134893704]}]},{"allowed_amount":41.83,"providers":[{"billed_charge":50.0,"npi":[1134893704]}]},{"allowed_amount":101.59,"providers":[{"billed_charge":150.0,"npi":[1134893704]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":535.18,"providers":[{"billed_charge":585.8,"npi":[1639721988]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":443.02,"providers":[{"billed_charge":538.0,"npi":[1811275944]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":269.68,"providers":[{"billed_charge":408.0,"npi":[1629242359]}]},{"allowed_amount":229.22,"providers":[{"billed_charge":408.0,"npi":[1194289421]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"870437878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.23,"providers":[{"billed_charge":150.0,"npi":[1295817708,1568800209,1740750561]}]},{"allowed_amount":150.0,"providers":[{"billed_charge":150.0,"npi":[1295817708]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1447223904]}]}]},{"tin":{"type":"ein","value":"911019392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":145.35,"providers":[{"billed_charge":231.0,"npi":[1285369181,1992596951]}]},{"allowed_amount":146.9,"providers":[{"billed_charge":231.0,"npi":[1467230995,1730667429,1992596951]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":148.86,"providers":[{"billed_charge":226.0,"npi":[1174314306]}]},{"allowed_amount":131.11,"providers":[{"billed_charge":226.0,"npi":[1053810309]}]},{"allowed_amount":145.35,"providers":[{"billed_charge":226.0,"npi":[1922774850]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":255.2,"providers":[{"billed_charge":319.0,"npi":[1083077200,1326331620]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":254.63,"providers":[{"billed_charge":391.0,"npi":[1003809252,1043983448,1265795942,1649658220,1770997934,1912632381,1992381743]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1417377284,1568026961,1730412669,1740600550]}]},{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1013969401,1649372756,1710413539,1972764074]}]},{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1609542356]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":210.97,"providers":[{"billed_charge":323.0,"npi":[1639269533]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1952830416]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"911489926"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.67,"providers":[{"billed_charge":70.0,"npi":[1528594850]}]},{"allowed_amount":61.34,"providers":[{"billed_charge":140.0,"npi":[1528594850]}]},{"allowed_amount":70.3,"providers":[{"billed_charge":140.0,"npi":[1528594850]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.83,"npi":[1073599478]},{"billed_charge":54.31,"npi":[1073599478]},{"billed_charge":102.9,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":57.02,"npi":[1073599478]},{"billed_charge":103.95,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":106.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":42.49,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":139.65,"npi":[1073599478]}]},{"allowed_amount":20.86,"providers":[{"billed_charge":139.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":19.73,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":109.52,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":98.95,"npi":[1073599478]}]},{"allowed_amount":14.55,"providers":[{"billed_charge":98.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":66.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":62.35,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":76.75,"npi":[1073599478]},{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":65.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.62,"providers":[{"billed_charge":229.19,"npi":[1063497451]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":115.44,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":61.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.14,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.2,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":141.0,"providers":[{"billed_charge":210.56,"npi":[1619618469]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":241.81,"providers":[{"billed_charge":381.0,"npi":[1598065492,1922400910]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":220.3,"providers":[{"billed_charge":335.0,"npi":[1134943269]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":193.09,"providers":[{"billed_charge":311.0,"npi":[1689164188,1871732537,1982233219]}]},{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1811980824,1922400910]}]},{"allowed_amount":164.13,"providers":[{"billed_charge":311.0,"npi":[1124353693,1164720488]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":207.21,"providers":[{"billed_charge":279.0,"npi":[1841277340]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":116.21,"providers":[{"billed_charge":290.0,"npi":[1467910265]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":179.47,"providers":[{"billed_charge":315.0,"npi":[1225838642,1245281534,1770023277]},{"billed_charge":279.0,"npi":[1851328421]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":92.66,"providers":[{"billed_charge":153.0,"npi":[1326444340]}]},{"allowed_amount":99.28,"providers":[{"billed_charge":153.0,"npi":[1437302247,1609437508,1619348786,1790985083]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":99.49,"providers":[{"billed_charge":222.0,"npi":[1962874446]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16.84,"providers":[{"billed_charge":28.14,"npi":[1487004529]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4357KX","description":"Bedside Drainage Bag","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11.26,"providers":[{"billed_charge":14.0,"npi":[1639160708]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.88,"providers":[{"billed_charge":128.69,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":49.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":167.28,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8748159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.1,"providers":[{"billed_charge":105.28,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764159","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staph Aureus, Methicillin Resistant, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.43,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"870217280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.91,"providers":[{"billed_charge":129.0,"npi":[1861676066]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1285408591]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1356909071]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"251786209"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":125.74,"providers":[{"billed_charge":162.0,"npi":[1487267225,1851282115]}]},{"allowed_amount":75.78,"providers":[{"billed_charge":108.0,"npi":[1851282115]}]},{"allowed_amount":37.89,"providers":[{"billed_charge":54.0,"npi":[1487267225,1851282115]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":92.79,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":219.2,"providers":[{"billed_charge":219.2,"npi":[1699902726]}]}]},{"tin":{"type":"ein","value":"272931022"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":170.41,"providers":[{"billed_charge":580.0,"npi":[1093993263]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":219.74,"providers":[{"billed_charge":225.24,"npi":[1326229311]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.73,"providers":[{"billed_charge":198.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.69,"providers":[{"billed_charge":2.69,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":184.59,"npi":[1932184322]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.02,"providers":[{"billed_charge":209.62,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":187.11,"npi":[1932184322]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.39,"providers":[{"billed_charge":212.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":74.97,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.92,"providers":[{"billed_charge":85.74,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1326104613]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":33.09,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":44.61,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":106.05,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":107.1,"npi":[1932184322]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7683026","description":"Echography, Transvaginal","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.83,"providers":[{"billed_charge":113.0,"npi":[1487729281]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":205.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87328","description":"Crytosporidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":163.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":101.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]},{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]},{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":101.81,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"820872578"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":116.05,"providers":[{"billed_charge":180.0,"npi":[1215432893]}]}]},{"tin":{"type":"ein","value":"854164911"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":116.05,"providers":[{"billed_charge":190.0,"npi":[1528553609]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":70.0,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":129.85,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.84,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":130.21,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1366479099]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1366479099]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.03,"providers":[{"billed_charge":64.91,"npi":[1538105366]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7356226","description":"Radiologic examination, knee; 3 views","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":18.09,"providers":[{"billed_charge":28.0,"npi":[1427552306]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":230.49,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":110.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":60.12,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":95.49,"providers":[{"billed_charge":177.8,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":122.83,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"455215138"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":90.42,"providers":[{"billed_charge":302.64,"npi":[1831290204]}]},{"allowed_amount":42.82,"providers":[{"billed_charge":201.76,"npi":[1831290204]}]},{"allowed_amount":51.55,"providers":[{"billed_charge":201.76,"npi":[1831290204]}]},{"allowed_amount":64.23,"providers":[{"billed_charge":302.64,"npi":[1831290204]}]},{"allowed_amount":72.96,"providers":[{"billed_charge":302.64,"npi":[1831290204]}]},{"allowed_amount":73.2,"providers":[{"billed_charge":302.64,"npi":[1831290204]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":345.0,"npi":[1598184293]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"481274572"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1033196027]}]}]},{"tin":{"type":"ein","value":"753133325"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":54.0,"npi":[1528123130]}]}]},{"tin":{"type":"ein","value":"810538211"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":73.0,"npi":[1427479880]}]}]},{"tin":{"type":"ein","value":"810489339"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":49.5,"npi":[1437207966]}]}]},{"tin":{"type":"ein","value":"832430631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":52.0,"npi":[1376639633]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":98.55,"providers":[{"billed_charge":195.75,"npi":[1639160708]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]},{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.74,"providers":[{"billed_charge":240.0,"npi":[1730466590]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1568","description":"Octagam injection","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":5970.0,"providers":[{"billed_charge":27973.44,"npi":[1396288338]}]},{"allowed_amount":497.5,"providers":[{"billed_charge":2331.12,"npi":[1396288338]}]},{"allowed_amount":995.0,"providers":[{"billed_charge":4662.24,"npi":[1396288338]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9338","description":"Home infusion therapy, immunotherapy therapy","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":20.0,"providers":[{"billed_charge":250.0,"npi":[1396288338]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":47.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":47.76,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":129.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":156.74,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.35,"providers":[{"billed_charge":113.25,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":55.93,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.64,"providers":[{"billed_charge":220.96,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]},{"billed_charge":105.27,"npi":[1689639544]}]},{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":79.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":256.58,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"823689737"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":103.31,"providers":[{"billed_charge":160.0,"npi":[1477794691]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"991517805"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":124.66,"providers":[{"billed_charge":175.0,"npi":[1508551284]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":284.49,"providers":[{"billed_charge":381.0,"npi":[1639145618]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":414.0,"npi":[1578771853]}]}]},{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":162.18,"providers":[{"billed_charge":221.0,"npi":[1033777503,1134869670]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"810489339"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.0,"providers":[{"billed_charge":30.0,"npi":[1437207966]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]},{"billed_charge":47.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":200.29,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":130.21,"npi":[1073599478]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]},{"allowed_amount":543.64,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chemical professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90853","description":"Group Psychotherapy (Other Than, Multiple-Family Group)","allowed_amounts":[{"tin":{"type":"ein","value":"923293871"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.0,"providers":[{"billed_charge":75.0,"npi":[1922703370]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"330361048"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":42.37,"providers":[{"billed_charge":85.0,"npi":[1891787594]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232KX","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":165.0,"npi":[1255330825]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":26.0,"npi":[1467956342]},{"billed_charge":34.0,"npi":[1225473465]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":256.5,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1891731626]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]},{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":97.65,"npi":[]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1891731626]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":54.44,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":37.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":63.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":48.35,"npi":[1073599478]},{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":67.81,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]},{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":39.41,"npi":[1073599478]},{"billed_charge":33.09,"npi":[]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":45.73,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":169.86,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":43.52,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":85.0,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":194.47,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":264.83,"npi":[1609812445]},{"billed_charge":252.22,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":226.48,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":129.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":149.28,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[1073599478]},{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":112.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":70.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]},{"allowed_amount":344.0,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":232.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":87.6,"npi":[1073599478]},{"billed_charge":243.6,"npi":[]},{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.85,"providers":[{"billed_charge":221.0,"npi":[1124905328]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"882977235"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":198.0,"npi":[1912466756]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":580.79,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]},{"allowed_amount":589.5,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]},{"billed_charge":1500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1043744931,1922232867]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1508242397]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.0,"providers":[{"billed_charge":120.0,"npi":[1205032562]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":173.43,"providers":[{"billed_charge":204.03,"npi":[1194143891]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":40.0,"npi":[1487996955]}]},{"allowed_amount":35.1,"providers":[{"billed_charge":39.0,"npi":[1487996955]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1194143891,1588558019]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"142008880"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.28,"providers":[{"billed_charge":114.0,"npi":[1467619114]}]},{"allowed_amount":17.22,"providers":[{"billed_charge":114.0,"npi":[1467619114]}]}]},{"tin":{"type":"ein","value":"462646543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.19,"providers":[{"billed_charge":65.0,"npi":[1306149596]}]},{"allowed_amount":18.93,"providers":[{"billed_charge":65.0,"npi":[1306149596,1508750043]}]},{"allowed_amount":19.0,"providers":[{"billed_charge":65.0,"npi":[1306149596,1740900422,1932713138]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"142008880"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.81,"providers":[{"billed_charge":114.0,"npi":[1467619114]}]},{"allowed_amount":13.86,"providers":[{"billed_charge":114.0,"npi":[1467619114]}]}]},{"tin":{"type":"ein","value":"462646543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28.88,"providers":[{"billed_charge":50.0,"npi":[1306149596]}]},{"allowed_amount":30.62,"providers":[{"billed_charge":100.0,"npi":[1306149596]}]},{"allowed_amount":15.25,"providers":[{"billed_charge":50.0,"npi":[1306149596,1508750043]}]},{"allowed_amount":15.31,"providers":[{"billed_charge":50.0,"npi":[1306149596,1740900422,1932713138]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]},{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":102.9,"npi":[]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":56.5,"npi":[1073599478]},{"billed_charge":62.52,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":156.74,"npi":[1609812445]},{"billed_charge":149.28,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":44.7,"npi":[]},{"billed_charge":184.51,"npi":[]},{"billed_charge":188.85,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":31.5,"npi":[1073599478]},{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]},{"billed_charge":218.38,"npi":[]}]},{"allowed_amount":96.9,"providers":[{"billed_charge":334.96,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8836059","description":"Morphometric Analysis, Tumor Immunohistochemistry, Quantitative Or Semiquantitative, Ea Antibody; Manual","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":106.58,"providers":[{"billed_charge":200.0,"npi":[1740733708]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.0,"providers":[{"billed_charge":99.0,"npi":[1578673372]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.51,"providers":[{"billed_charge":34.0,"npi":[1336245943,1770554859]}]},{"allowed_amount":17.42,"providers":[{"billed_charge":34.0,"npi":[1962737528]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":207.21,"providers":[{"billed_charge":279.0,"npi":[1447438650]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1245889419]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1891264545]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":45.88,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.33,"providers":[{"billed_charge":29.72,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861747274"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1871086140]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":17.93,"npi":[]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":45.0,"npi":[1366846636]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1063795789,1366846636]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":79.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1871682997]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":121.48,"providers":[{"billed_charge":219.2,"npi":[1174620496]}]}]},{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":28.3,"npi":[1083077408]}]}]}]},{"name":"DME CPAP rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0601RR","description":"Continuous positive airway pressure (cpap) device","allowed_amounts":[{"tin":{"type":"ein","value":"611423158"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":52.6,"providers":[{"billed_charge":252.0,"npi":[1073551446]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.22,"providers":[{"billed_charge":74.24,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":206.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"Blood Count; Hemoglobin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.14,"providers":[{"billed_charge":20.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.33,"providers":[{"billed_charge":29.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764059","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.85,"providers":[{"billed_charge":50.0,"npi":[1659655124]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8765359","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.62,"providers":[{"billed_charge":50.0,"npi":[1659655124]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"454298417"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":225.0,"npi":[1285416123]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1194761312]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":72.14,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":65.95,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":131.92,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.28,"npi":[1104466994]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":202.49,"npi":[]},{"billed_charge":228.0,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":54.44,"npi":[1366479099]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1215230578]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.46,"providers":[{"billed_charge":27.0,"npi":[1497700975]}]}]},{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":28.3,"npi":[1083077408]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140359","description":"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions)","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.9,"providers":[{"billed_charge":740.8,"npi":[1598314437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":300.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Naturopath office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930795159"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":98.96,"providers":[{"billed_charge":100.0,"npi":[1073010880]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]},{"billed_charge":3900.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":50.0,"npi":[1437768306]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":150.0,"npi":[1437768306]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.59,"providers":[{"billed_charge":313.18,"npi":[1467890137]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831326","description":"Special Stains; Group Ii, All Other, Non-Immunocytochemistry & Non-Immunoperoxidase, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60.4,"providers":[{"billed_charge":92.0,"npi":[1497167720]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1497167720]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":834.96,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":85.05,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":210.97,"providers":[{"billed_charge":323.0,"npi":[1033265657,1447415773]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":210.97,"providers":[{"billed_charge":323.0,"npi":[1033265657]}]}]}]},{"name":"CT scan IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":98.31,"providers":[{"billed_charge":354.0,"npi":[1730445016]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10.2,"providers":[{"billed_charge":35.0,"npi":[1730445016]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":67.29,"providers":[{"billed_charge":230.0,"npi":[1023016557]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1609975226]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861826692"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":124.66,"providers":[{"billed_charge":294.38,"npi":[1477104313]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"834204802"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":210.33,"providers":[{"billed_charge":488.0,"npi":[1578198966]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.03,"providers":[{"billed_charge":64.91,"npi":[1538105366]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1235434010]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":360.52,"npi":[1487646360]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.46,"providers":[{"billed_charge":129.42,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"453825517"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":185.0,"npi":[1104700046]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":61.48,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":315.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.34,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":196.27,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":118.31,"npi":[1073599478]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":45.0,"npi":[1861029159]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":208.95,"npi":[1073599478]},{"billed_charge":254.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82248","description":"Bilirubin; Direct","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":21.82,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":383.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":383.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86334","description":"Immunofixation Electrophoresis","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.55,"providers":[{"billed_charge":172.52,"npi":[1073599478]},{"billed_charge":171.78,"npi":[1073599478]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.28,"providers":[{"billed_charge":17.0,"npi":[1336536887]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":115.44,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":99.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":75.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]},{"billed_charge":105.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81546","description":"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious)","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3600.0,"providers":[{"billed_charge":6400.0,"npi":[1134438427]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":81.83,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861747274"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1689206575]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.65,"providers":[{"billed_charge":228.0,"npi":[1396869798]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1558843326,1649408055]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":94.51,"npi":[]},{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":89.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":82.5,"npi":[1811218720]},{"billed_charge":100.0,"npi":[1851882724]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"260152289"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.32,"providers":[{"billed_charge":102.0,"npi":[1326144189]}]},{"allowed_amount":48.93,"providers":[{"billed_charge":204.0,"npi":[1326144189]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":82.5,"providers":[{"billed_charge":82.5,"npi":[1811218720]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":56.19,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":237.5,"providers":[{"billed_charge":250.0,"npi":[1538334628]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9586126","description":"Emg, Needle; 2 Extremities W/Wo Related Paraspinal Areas","allowed_amounts":[{"tin":{"type":"ein","value":"273815236"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":158.12,"providers":[{"billed_charge":4500.0,"npi":[1578622890]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1568029791]}]}]},{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":424.2,"npi":[1427582519]}]}]},{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":874.0,"npi":[1285861989]}]},{"allowed_amount":865.8,"providers":[{"billed_charge":962.0,"npi":[1073755484]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":97.63,"npi":[]},{"billed_charge":99.75,"npi":[]},{"billed_charge":137.26,"npi":[]},{"billed_charge":117.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":40.25,"npi":[1538144910]},{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":36.81,"npi":[]},{"billed_charge":37.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":31.05,"npi":[]},{"billed_charge":30.56,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.3,"providers":[{"billed_charge":207.57,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":197.07,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[1538144910]},{"billed_charge":86.82,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":43.76,"npi":[1538144910]},{"billed_charge":104.67,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":40.97,"npi":[]},{"billed_charge":41.45,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":117.6,"npi":[1538144910]},{"billed_charge":122.52,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":124.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":152.97,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.3,"providers":[{"billed_charge":252.72,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":47.97,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":38.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":83.67,"npi":[1538144910]},{"billed_charge":78.75,"npi":[1538144910]},{"billed_charge":90.38,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":107.1,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.33,"providers":[{"billed_charge":29.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8765359","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.13,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]},{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":60.45,"npi":[1538144910]},{"billed_charge":306.6,"npi":[1538144910]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"463534007"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.21,"providers":[{"billed_charge":170.0,"npi":[1609090901]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":613.7,"providers":[{"billed_charge":646.0,"npi":[1003200304]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":613.7,"providers":[{"billed_charge":646.0,"npi":[1326508375,1902148224]}]}]},{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":554.21,"providers":[{"billed_charge":623.0,"npi":[1346285723]},{"billed_charge":844.0,"npi":[1629598446]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.5,"providers":[{"billed_charge":107.5,"npi":[1811218720]}]}]}]},{"name":"Physical therapy office","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0283GP","description":"Electrical Stimulation (Unattended), To One Or More Areas For Indicati","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.93,"providers":[{"billed_charge":53.0,"npi":[1477999449]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":174.23,"npi":[]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":125.02,"providers":[{"billed_charge":131.6,"npi":[1285606285]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":91.8,"providers":[{"billed_charge":102.0,"npi":[1134650633,1851373542]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":23.4,"providers":[{"billed_charge":26.0,"npi":[1770554859]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":106.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":134.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":195.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.5,"providers":[{"billed_charge":308.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.28,"providers":[{"billed_charge":332.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":177.45,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[1285014282]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1528039484]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":145.7,"providers":[{"billed_charge":274.0,"npi":[1821532037]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1124007836]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1558349324]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":95.04,"providers":[{"billed_charge":118.8,"npi":[1639666316]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":258.0,"npi":[1962737528]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99244","description":"Office or OP consult for new or est. patient, req. a medically apt history and/or Ex. and moderate level of medical decision making. Total time of the encounter, 40 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":662.15,"providers":[{"billed_charge":697.0,"npi":[1689800260,1942375043]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":309.76,"providers":[{"billed_charge":387.2,"npi":[1790148088]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":40.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":206.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.86,"providers":[{"billed_charge":38.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.57,"providers":[{"billed_charge":42.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85730","description":"Thromboplastin Time, Partial (Ptt); Plasma/Whole Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.44,"providers":[{"billed_charge":65.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.15,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1154577989]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1700380771]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1154575843]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":94.2,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.01,"providers":[{"billed_charge":98.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":50.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.23,"providers":[{"billed_charge":133.35,"npi":[]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G6017","description":"Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fracti","allowed_amounts":[{"tin":{"type":"ein","value":"481253013"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":94.14,"providers":[{"billed_charge":469.0,"npi":[1427213289,1790102671]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]}]}]},{"name":"Transplant lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":39.94,"providers":[{"billed_charge":49.92,"npi":[1295112241]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":384.0,"npi":[1962494831]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[]}]},{"allowed_amount":10.36,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]},{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.33,"providers":[{"billed_charge":29.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":570.45,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":137.25,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1558480087]}]}]},{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.85,"providers":[{"billed_charge":221.0,"npi":[1588273338]}]},{"allowed_amount":162.18,"providers":[{"billed_charge":221.0,"npi":[1134869670]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1447514120]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":452.2,"providers":[{"billed_charge":476.0,"npi":[1528801925,1881664597]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":317.87,"providers":[{"billed_charge":471.9,"npi":[1326572306]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1326572306]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"911889011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":34.9,"providers":[{"billed_charge":70.0,"npi":[1073392759]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"911889011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":39.83,"providers":[{"billed_charge":70.0,"npi":[1073392759]}]},{"allowed_amount":79.67,"providers":[{"billed_charge":140.0,"npi":[1073392759]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":119.9,"npi":[1073599478]},{"billed_charge":229.26,"npi":[]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":205.8,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":25.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[]},{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":115.5,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":24.0,"npi":[]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":52.05,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":2988.1,"npi":[1063011898]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1299.6,"providers":[{"billed_charge":1368.0,"npi":[1447494430]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":211.26,"providers":[{"billed_charge":366.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.05,"providers":[{"billed_charge":108.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":203.34,"npi":[1346498755]}]}]},{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.86,"providers":[{"billed_charge":690.0,"npi":[1023016557]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1609975226]}]},{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1215370630,1609975226]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.0,"providers":[{"billed_charge":99.0,"npi":[1578673372,1811082993]}]},{"allowed_amount":52.25,"providers":[{"billed_charge":99.0,"npi":[1609975226]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1215435136]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.64,"providers":[{"billed_charge":111.2,"npi":[1437123809]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.98,"providers":[{"billed_charge":8.4,"npi":[1437123809]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.95,"providers":[{"billed_charge":92.79,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":127.37,"providers":[{"billed_charge":237.0,"npi":[1780027821]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.84,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1093529406]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86146","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.85,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":129.43,"providers":[{"billed_charge":627.55,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.73,"providers":[{"billed_charge":440.4,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.38,"providers":[{"billed_charge":282.9,"npi":[1245494517]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"992777749"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":160.0,"npi":[1811579402]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1154538148,1801329545]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.85,"providers":[{"billed_charge":240.0,"npi":[1851473961]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":430.0,"npi":[1114798071]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.18,"providers":[{"billed_charge":23.76,"npi":[1992913974]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":237.5,"providers":[{"billed_charge":250.0,"npi":[1538334628]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99244","description":"Office or OP consult for new or est. patient, req. a medically apt history and/or Ex. and moderate level of medical decision making. Total time of the encounter, 40 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":662.15,"providers":[{"billed_charge":697.0,"npi":[1477276715]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82397","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":100.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83935","description":"Osmolality; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86036","description":"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.43,"providers":[{"billed_charge":60.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614859","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.58,"providers":[{"billed_charge":80.35,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":129.43,"providers":[{"billed_charge":627.55,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.38,"providers":[{"billed_charge":282.9,"npi":[1245494517]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":449.55,"providers":[{"billed_charge":449.55,"npi":[1972682540]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.0,"providers":[{"billed_charge":120.0,"npi":[1417161944]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"860748813"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.28,"providers":[{"billed_charge":160.0,"npi":[1962170241]}]},{"allowed_amount":29.98,"providers":[{"billed_charge":160.0,"npi":[1962170241]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1619934817]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":110.0,"npi":[1083249577]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":999.0,"npi":[1346479169]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":88.25,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861747274"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1689206575]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1811218720]}]},{"allowed_amount":44.75,"providers":[{"billed_charge":44.75,"npi":[1811218720]}]},{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1811218720]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":53.75,"npi":[1811218720]},{"billed_charge":58.75,"npi":[1811218720]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1861533481]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.52,"providers":[{"billed_charge":147.0,"npi":[1073599478]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232KX","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.15,"providers":[{"billed_charge":247.5,"npi":[1255330825]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.0,"providers":[{"billed_charge":25.0,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471484556"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":268.46,"providers":[{"billed_charge":268.46,"npi":[1093705170,1336777432,1447223656,1497247118,1578653192,1770537011,1891086443,1891255071]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":89.47,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":183.0,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":56.51,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":45.73,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":48.48,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":179.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":191.91,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[1073599478]},{"billed_charge":122.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1447514120]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140","description":"Manual therapy techniques (eg, mobilization/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"721572349"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.75,"providers":[{"billed_charge":55.0,"npi":[1437791084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":77.7,"npi":[]},{"billed_charge":45.3,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":117.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":144.9,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1609975226,1811082993]}]},{"allowed_amount":417.0,"providers":[{"billed_charge":525.0,"npi":[1578673372]}]}]},{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":203.34,"npi":[1346498755]}]},{"allowed_amount":100.58,"providers":[{"billed_charge":406.68,"npi":[1346498755]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1235227893]}]}]}]},{"name":"Urgent care xray non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":20.05,"providers":[{"billed_charge":31.5,"npi":[1386986057,1578060711]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":169.57,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":52.5,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":180.25,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764059","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":111.63,"providers":[{"billed_charge":300.0,"npi":[1508594136]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":47.25,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":203.34,"npi":[1346498755]}]}]},{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":346.32,"providers":[{"billed_charge":479.16,"npi":[1043411168]}]},{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168,1558466177]}]},{"allowed_amount":173.16,"providers":[{"billed_charge":239.58,"npi":[1558466177]}]},{"allowed_amount":343.68,"providers":[{"billed_charge":479.16,"npi":[1558466177]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":164.42,"providers":[{"billed_charge":164.42,"npi":[1366975914]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":89.48,"providers":[{"billed_charge":876.0,"npi":[1255622080,1801026083]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":107.58,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]},{"allowed_amount":29.27,"providers":[{"billed_charge":84.07,"npi":[]}]}]}]},{"name":"Hospital visit or service OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":178.05,"providers":[{"billed_charge":186.29,"npi":[1649610452]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":52.5,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]},{"allowed_amount":10.56,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":47.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":184.22,"npi":[]},{"billed_charge":206.49,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":209.31,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":94.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.1,"providers":[{"billed_charge":38.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":155.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":220.51,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":231.51,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.7,"providers":[{"billed_charge":271.4,"npi":[1013421072]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":88.46,"providers":[{"billed_charge":176.92,"npi":[1013421072]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"992777749"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":160.0,"npi":[1811579402]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1801163464]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1235833104,1366690844,1649968959,1962998948]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"861035283"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.17,"providers":[{"billed_charge":90.0,"npi":[1114883964]}]},{"allowed_amount":40.34,"providers":[{"billed_charge":180.0,"npi":[1114883964]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":140.95,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":262.8,"npi":[]},{"billed_charge":125.55,"npi":[1073599478]},{"billed_charge":131.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":52.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":26.46,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":22.89,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":99.49,"providers":[{"billed_charge":222.0,"npi":[1144834599]}]}]},{"tin":{"type":"ein","value":"471026878"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":190.0,"npi":[1114600129]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":118.56,"providers":[{"billed_charge":124.8,"npi":[1164734000]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":103.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84478","description":"Triglycerides","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.29,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1386160596]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"860748813"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.6,"providers":[{"billed_charge":160.0,"npi":[1962170241]}]},{"allowed_amount":30.84,"providers":[{"billed_charge":160.0,"npi":[1710430020]}]},{"allowed_amount":36.0,"providers":[{"billed_charge":160.0,"npi":[1962170241]}]},{"allowed_amount":36.28,"providers":[{"billed_charge":160.0,"npi":[1710430020,1962170241]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.92,"providers":[{"billed_charge":28.14,"npi":[1073157376]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":91.8,"providers":[{"billed_charge":102.0,"npi":[1417931965,1770555278]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1457649626]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"942762069"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.5,"providers":[{"billed_charge":50.0,"npi":[1770676025]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":63.43,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":67.08,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"CT Scan, Head or Brain; Without Contrast Material","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":125.0,"npi":[1518183284]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":34.0,"npi":[1386746998]}]}]},{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1427510700]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]},{"billed_charge":132.51,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]},{"billed_charge":54.0,"npi":[1073599478]},{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":626.0,"npi":[1356307870]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":53.55,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]},{"allowed_amount":8.91,"providers":[{"billed_charge":80.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.25,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82653","description":"Elastase, pancreatic (EL-1), fecal; quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.9,"providers":[{"billed_charge":308.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":113.08,"npi":[1073599478]},{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":48.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":87.66,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":73.0,"npi":[1073599478]},{"billed_charge":201.06,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.82,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":389.01,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":82.47,"npi":[1073599478]},{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":58.89,"npi":[1073599478]},{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":62.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.57,"providers":[{"billed_charge":338.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":251.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":4.28,"npi":[]}]}]},{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":84.41,"npi":[1245720820]},{"billed_charge":88.63,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8452091","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":88.63,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":243.6,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1629727219]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":98.7,"npi":[1073599478]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"844582670"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":1008.0,"npi":[1316066962]}]}]}]},{"name":"Naturopath office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":192.85,"providers":[{"billed_charge":400.0,"npi":[1770836140]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99070","description":"Supplies Provided By Physician Over & Above Those Included In The Service","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":10.97,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.34,"providers":[{"billed_charge":204.31,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":69.3,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1629727219]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":33.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":93.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":50.81,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":228.0,"npi":[]}]},{"allowed_amount":57.39,"providers":[{"billed_charge":214.2,"npi":[]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":45.88,"npi":[]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1457747206,1659301554]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":265.32,"providers":[{"billed_charge":480.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":162.16,"providers":[{"billed_charge":280.0,"npi":[1790980837]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.74,"providers":[{"billed_charge":373.8,"npi":[1073599478]}]},{"allowed_amount":159.34,"providers":[{"billed_charge":373.8,"npi":[]}]},{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":191.96,"providers":[{"billed_charge":280.0,"npi":[1053686964]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":87.57,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":355.0,"npi":[1104952415]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1114415825,1790757516,1851749063]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0621","description":"SO, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":33.46,"providers":[{"billed_charge":75.0,"npi":[1891728697]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81546","description":"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious)","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3600.0,"providers":[{"billed_charge":6400.0,"npi":[1134438427]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":432.36,"providers":[{"billed_charge":521.38,"npi":[1457866261,1972693505]}]}]}]},{"name":"Hospital visit or service OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":261.91,"providers":[{"billed_charge":268.46,"npi":[1982353017]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.62,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":206.85,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":220.5,"npi":[]},{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":110.24,"npi":[]},{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":408.8,"providers":[{"billed_charge":471.9,"npi":[1891750808]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97012","description":"Application of a modality to 1 or more areas; traction, mechanical","allowed_amounts":[{"tin":{"type":"ein","value":"810489339"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.0,"providers":[{"billed_charge":16.0,"npi":[1437207966]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":67.29,"providers":[{"billed_charge":230.0,"npi":[1225036858]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.18,"providers":[{"billed_charge":23.76,"npi":[1386141984]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]},{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]},{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":55.0,"npi":[1407948169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":197.02,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":134.56,"npi":[]}]}]}]},{"name":"OB office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":293.0,"npi":[1427001494]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908LT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":360.52,"npi":[1487646360]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":97.63,"npi":[1073599478]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":206.53,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":585.8,"providers":[{"billed_charge":585.8,"npi":[1447559778]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":515.59,"providers":[{"billed_charge":528.48,"npi":[1073174165]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":207.96,"providers":[{"billed_charge":408.0,"npi":[1467433292]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"833011825"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.3,"providers":[{"billed_charge":280.0,"npi":[1417581190]}]}]}]},{"name":"CT scan IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":345.0,"npi":[1962737528]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":93.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":73.62,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":254.45,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":46.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":349.99,"providers":[{"billed_charge":349.99,"npi":[]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1992418727]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":47.91,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":83.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87496","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.65,"providers":[{"billed_charge":228.0,"npi":[1447415773]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":93.8,"providers":[{"billed_charge":107.5,"npi":[1609104496]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77014","description":"Computed Tomography Guidance for Placement of Radiation Therapy Fields","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":272.48,"providers":[{"billed_charge":694.0,"npi":[1225526890,1528509767]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":207.68,"providers":[{"billed_charge":259.6,"npi":[1114311248]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":21.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[]},{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"263801990"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.21,"providers":[{"billed_charge":210.0,"npi":[1619112018]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":477.84,"providers":[{"billed_charge":597.3,"npi":[1669792032]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":53.75,"npi":[1609104496]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"923818310"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":155.35,"npi":[1063253094]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80366","description":"Pregabalin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.45,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":178.2,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":53.2,"providers":[{"billed_charge":56.0,"npi":[1285751776,1679559264,1992783369]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]},{"allowed_amount":30.5,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0656RR","description":"Segmental pneumatic appliance for use with pneumatic compressor, trunk","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":50.47,"providers":[{"billed_charge":110.0,"npi":[1427131424]}]},{"allowed_amount":82.35,"providers":[{"billed_charge":110.0,"npi":[1427131424]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0667RR","description":"Seg Pneumatic Appl Full Leg","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":44.29,"providers":[{"billed_charge":82.5,"npi":[1427131424]}]},{"allowed_amount":13.99,"providers":[{"billed_charge":82.5,"npi":[1427131424]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":15.3,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80366","description":"Pregabalin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":13.17,"npi":[1073599478]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.0,"providers":[{"billed_charge":17.0,"npi":[1932634706]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":962.0,"npi":[1285861989]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]},{"billed_charge":150.38,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1073590683,1508589607,1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":110.9,"npi":[1073599478]}]},{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1073590683,1508589607,1578061883,1609395102,1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]},{"allowed_amount":27.94,"providers":[{"billed_charge":201.59,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":50.4,"npi":[]},{"billed_charge":49.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.09,"providers":[{"billed_charge":119.69,"npi":[1073599478]}]},{"allowed_amount":11.13,"providers":[{"billed_charge":105.0,"npi":[1073599478]},{"billed_charge":34.0,"npi":[1073599478]},{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1073599478]}]},{"allowed_amount":12.95,"providers":[{"billed_charge":103.94,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":90.97,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":124.88,"npi":[1073599478]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":96.44,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86708","description":"Hepatitis A antibody (HAAb)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":114.37,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.91,"providers":[{"billed_charge":121.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.85,"npi":[]},{"billed_charge":70.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764059","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":34.66,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8765359","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1073590683,1578061883,1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]},{"billed_charge":243.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":30.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":25.0,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"882534227"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":185.0,"npi":[1104385590]}]}]}]},{"name":"Mental professional child IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"621658528"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":97.38,"providers":[{"billed_charge":170.0,"npi":[1316954894,1316962145,1609883180]},{"billed_charge":250.0,"npi":[1316954894,1821485863]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":53.75,"npi":[1851882724]}]}]},{"tin":{"type":"ein","value":"811026078"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":73.0,"npi":[1427933423]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.5,"providers":[{"billed_charge":107.5,"npi":[1851882724]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[]},{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":90.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.87,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":62.0,"npi":[]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"930593725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":39.0,"npi":[1497787485]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7683026","description":"Echography, Transvaginal","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.83,"providers":[{"billed_charge":113.0,"npi":[1487729281]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":605.55,"providers":[{"billed_charge":1260.06,"npi":[1609858729]}]},{"allowed_amount":80.74,"providers":[{"billed_charge":420.02,"npi":[1609858729]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":64.5,"providers":[{"billed_charge":216.0,"npi":[1639160708]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]},{"allowed_amount":26.61,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":99.83,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":79.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87427","description":"Shiga-like toxin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":96.29,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":126.45,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1003278102]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1003278102]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]},{"allowed_amount":243.0,"providers":[{"billed_charge":419.85,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.06,"providers":[{"billed_charge":143.26,"npi":[1609858729]},{"billed_charge":148.99,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.22,"providers":[{"billed_charge":74.24,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":110.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":129.72,"npi":[]}]},{"allowed_amount":13.3,"providers":[{"billed_charge":107.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":148.05,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.3,"providers":[{"billed_charge":247.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":78.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.33,"providers":[{"billed_charge":15.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":134.56,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140359","description":"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions)","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.9,"providers":[{"billed_charge":740.8,"npi":[1598314437]}]}]}]},{"name":"OB office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1528453552]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1649610528]}]}]},{"tin":{"type":"ein","value":"820516012"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":185.0,"npi":[1801519707]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":115.44,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.15,"npi":[]},{"billed_charge":70.41,"npi":[]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":267.88,"providers":[{"billed_charge":274.58,"npi":[1043606965]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":54.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.98,"providers":[{"billed_charge":35.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8352059","description":"Immunoassay, Analyte, Quantitative; Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.0,"providers":[{"billed_charge":92.39,"npi":[1245494517]}]},{"allowed_amount":36.0,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":89.89,"npi":[1073599478]},{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":163.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]},{"billed_charge":46.23,"npi":[]},{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":17.0,"npi":[]},{"billed_charge":19.73,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86146","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.12,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.24,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.49,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":100.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.5,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.98,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1497765291]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1619934817]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"800817257"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":123.19,"providers":[{"billed_charge":160.0,"npi":[1295807378]}]}]},{"tin":{"type":"ein","value":"831232422"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":200.0,"npi":[1912348186]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2999.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":314.45,"providers":[{"billed_charge":331.0,"npi":[1568106144]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":184.61,"providers":[{"billed_charge":275.1,"npi":[1346603628]}]},{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1326450123,1669698247]}]},{"allowed_amount":180.55,"providers":[{"billed_charge":275.1,"npi":[1346603628]}]},{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1215450986,1720438633]}]},{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1245736438]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":292.6,"providers":[{"billed_charge":346.48,"npi":[1285014100]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":57.81,"providers":[{"billed_charge":68.01,"npi":[1558817965]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":141.55,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.02,"providers":[{"billed_charge":23.09,"npi":[1851749063]}]},{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1770931339]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.67,"providers":[{"billed_charge":190.31,"npi":[1881004810]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908LT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":19.51,"providers":[{"billed_charge":28.6,"npi":[1588059851]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":116.14,"npi":[1073599478]},{"billed_charge":117.52,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"854044967"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":71.99,"providers":[{"billed_charge":139.0,"npi":[1639405129]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1528039484]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":20.0,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[]},{"billed_charge":26.25,"npi":[]}]},{"allowed_amount":12.74,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82024","description":"Assay Of Adrenocorticotropic Hormone (Acth)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.46,"providers":[{"billed_charge":279.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":47.46,"npi":[1073599478]},{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":89.25,"npi":[]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8352059","description":"Immunoassay, Analyte, Quantitative; Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.0,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":41.45,"npi":[]},{"billed_charge":41.27,"npi":[]},{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.58,"npi":[]},{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":43.52,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84478","description":"Triglycerides","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.29,"providers":[{"billed_charge":15.14,"npi":[1073599478]},{"billed_charge":19.96,"npi":[]},{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":42.8,"npi":[1073599478]},{"billed_charge":39.9,"npi":[]}]},{"allowed_amount":4.72,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85730","description":"Thromboplastin Time, Partial (Ptt); Plasma/Whole Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.52,"providers":[{"billed_charge":65.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":197.4,"npi":[1073599478]},{"billed_charge":95.65,"npi":[1073599478]},{"billed_charge":154.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":113.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":149.1,"npi":[1073599478]},{"billed_charge":88.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":130.76,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":100.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":29.72,"npi":[1073599478]},{"billed_charge":19.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":110.24,"npi":[]},{"billed_charge":101.81,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":220.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":286.84,"npi":[1366479099]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":515.59,"providers":[{"billed_charge":528.48,"npi":[1134547623,1154538148]}]},{"allowed_amount":438.25,"providers":[{"billed_charge":528.48,"npi":[1942390539]}]},{"allowed_amount":500.58,"providers":[{"billed_charge":528.48,"npi":[1346715885]}]},{"allowed_amount":528.48,"providers":[{"billed_charge":528.48,"npi":[1992047393]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"362193608"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":86.82,"providers":[{"billed_charge":252.44,"npi":[1457331043]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.82,"providers":[{"billed_charge":279.0,"npi":[1831524420]}]},{"allowed_amount":179.47,"providers":[{"billed_charge":279.0,"npi":[1831182096]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":206.78,"providers":[{"billed_charge":328.0,"npi":[1386631059]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":317.87,"providers":[{"billed_charge":471.9,"npi":[1568857399]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1336311307]}]},{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1346502770,1366690844,1528593308]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.84,"providers":[{"billed_charge":614.0,"npi":[1790959971]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":292.23,"providers":[{"billed_charge":485.0,"npi":[1386631059]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":317.87,"providers":[{"billed_charge":471.9,"npi":[1730297052]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":408.8,"providers":[{"billed_charge":471.9,"npi":[1730297052]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":57.81,"providers":[{"billed_charge":68.01,"npi":[1346502770]}]},{"allowed_amount":68.01,"providers":[{"billed_charge":68.01,"npi":[1992047393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[]},{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":209.31,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":153.62,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":105.12,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]},{"billed_charge":193.19,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[1073599478]},{"billed_charge":154.9,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":206.27,"providers":[{"billed_charge":225.24,"npi":[1346604071]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":81.87,"providers":[{"billed_charge":118.8,"npi":[1124093521]}]},{"allowed_amount":245.6,"providers":[{"billed_charge":356.4,"npi":[1124093521]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820516012"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":185.0,"npi":[1184307621]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.07,"providers":[{"billed_charge":23.76,"npi":[1386141984]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":282.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.95,"npi":[]},{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":205.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.82,"providers":[{"billed_charge":56.22,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[]},{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":417.7,"providers":[{"billed_charge":417.7,"npi":[1770972440]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.18,"providers":[{"billed_charge":27.0,"npi":[1447264841]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1050.0,"npi":[1346479169]},{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":150.0,"providers":[{"billed_charge":249.75,"npi":[1619295516]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":65.7,"providers":[{"billed_charge":130.5,"npi":[1639160708]}]},{"allowed_amount":64.5,"providers":[{"billed_charge":130.5,"npi":[1639160708]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":87.57,"npi":[]},{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":115.75,"npi":[1073599478]},{"billed_charge":254.4,"npi":[1073599478]},{"billed_charge":105.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":22.96,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":31.48,"npi":[]}]},{"allowed_amount":4.75,"providers":[{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":189.91,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83013","description":"H. Pylori; Analysis For Urease Activity, Non-Radioactive Isotope","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.0,"providers":[{"billed_charge":340.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8352059","description":"Immunoassay, Analyte, Quantitative; Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.0,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":228.39,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":4.31,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":41.86,"npi":[1538144910]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1497765291]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[1073599478]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":117.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":58.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.49,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":79.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":70.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.38,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.37,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3900.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":126.45,"npi":[]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99070","description":"Supplies Provided By Physician Over & Above Those Included In The Service","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":56.32,"providers":[{"billed_charge":56.32,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97010","description":"Application of a modality to 1 or more areas; hot or cold packs","allowed_amounts":[{"tin":{"type":"ein","value":"931110050"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.44,"providers":[{"billed_charge":12.0,"npi":[1356346381]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":46.25,"npi":[1083852776]},{"billed_charge":50.0,"npi":[1083852776]}]},{"allowed_amount":81.6,"providers":[{"billed_charge":92.5,"npi":[1083852776]},{"billed_charge":100.0,"npi":[1083852776]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.5,"providers":[{"billed_charge":92.5,"npi":[1083852776]}]},{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1083852776]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1295726032]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1050.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":112.35,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":64.0,"npi":[1073599478]},{"billed_charge":52.3,"npi":[1073599478]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7738726","description":"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed","allowed_amounts":[{"tin":{"type":"ein","value":"300366366"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":28.5,"providers":[{"billed_charge":160.0,"npi":[1083673636]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"873384482"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":95.0,"npi":[1942773049]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":65.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":50.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.7,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.29,"providers":[{"billed_charge":136.11,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":131.92,"npi":[]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1871955328]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.67,"providers":[{"billed_charge":190.31,"npi":[1881004810]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":261.91,"providers":[{"billed_charge":268.46,"npi":[1790137123,1821273392]}]},{"allowed_amount":222.62,"providers":[{"billed_charge":268.46,"npi":[1023334240]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":209.7,"providers":[{"billed_charge":233.0,"npi":[1285709568,1730285594]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":190.05,"npi":[1063497451]},{"billed_charge":200.84,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":82.95,"npi":[1063497451]},{"billed_charge":93.74,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":38.85,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":151.2,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.2,"providers":[{"billed_charge":110.71,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.35,"providers":[{"billed_charge":113.25,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":84.41,"npi":[1245720820]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":286.65,"npi":[1063497451]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":515.59,"providers":[{"billed_charge":528.48,"npi":[1700290178]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1033435490,1124253182,1659635399]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":292.22,"providers":[{"billed_charge":336.0,"npi":[1992798805]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1821273392]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":57.81,"providers":[{"billed_charge":68.01,"npi":[1528327210]}]},{"allowed_amount":60.42,"providers":[{"billed_charge":71.08,"npi":[1528327210]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1083761142]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8834226","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":102.81,"providers":[{"billed_charge":105.38,"npi":[1083761142]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1770931339]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME CPAP rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0601RR","description":"Continuous positive airway pressure (cpap) device","allowed_amounts":[{"tin":{"type":"ein","value":"870563433"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.88,"providers":[{"billed_charge":275.0,"npi":[1891125084]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral Feed Supp Pump Per D","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":184.41,"providers":[{"billed_charge":483.3,"npi":[1134151699]}]},{"allowed_amount":150.26,"providers":[{"billed_charge":393.8,"npi":[1134151699]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4332KX","description":"Lubricant For Cath Insertion","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":3.9,"providers":[{"billed_charge":11.7,"npi":[1639160708]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4353KX","description":"Intermittent Urinary Cath","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":332.8,"providers":[{"billed_charge":456.0,"npi":[1639160708]}]}]}]},{"name":"Flu shot all ages","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":36.85,"providers":[{"billed_charge":62.0,"npi":[1215688346]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99291","description":"Critical Care, Evaluation & Management; First 30-74 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"471696666"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":811.11,"providers":[{"billed_charge":978.11,"npi":[1710238670]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99418","description":"Prolonged inpatient/observ eval & mgmt svc time w/w/out direct pt contact beyond reqd time of prim svc when primary svc lev selected using total time, ea 15 mins of total time","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":128.75,"providers":[{"billed_charge":178.2,"npi":[1073088969]}]},{"allowed_amount":257.5,"providers":[{"billed_charge":356.4,"npi":[1073088969]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.08,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.15,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.45,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":458.25,"providers":[{"billed_charge":684.32,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":166.81,"providers":[{"billed_charge":294.38,"npi":[1134610561]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1598081325]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":324.53,"npi":[1427008341]},{"billed_charge":275.1,"npi":[1477997815]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1306131453,1790938843]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1578927323]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.28,"npi":[1104466994]}]}]},{"tin":{"type":"ein","value":"541882269"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.5,"providers":[{"billed_charge":345.0,"npi":[1912903717]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1245960467]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":44.35,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":98.7,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":61.48,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1932166386]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[1538144910]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":97.65,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":98.7,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":147.64,"providers":[{"billed_charge":313.0,"npi":[1124330865]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1366479099]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0621","description":"SO, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":33.46,"providers":[{"billed_charge":75.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.42,"providers":[{"billed_charge":926.0,"npi":[1699782722]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"870286381"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.17,"providers":[{"billed_charge":9.1,"npi":[1306933247]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8762559","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":142.8,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":602.0,"npi":[1598701690]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223AI","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":1389.0,"npi":[1871145771,1932780699]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"870286381"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.17,"providers":[{"billed_charge":9.1,"npi":[1306933247]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1295726032,1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1144937442]}]},{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1073590683]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":71.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.88,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":84.74,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.42,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]},{"allowed_amount":16.59,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":33.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":161.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]},{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]},{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":33.09,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":38.85,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":38.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":29.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1073590683,1144937442]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.3,"providers":[{"billed_charge":247.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[1073599478]},{"billed_charge":39.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":23.0,"npi":[1144937442]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":128.29,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":580.79,"providers":[{"billed_charge":1155.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3900.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.72,"providers":[{"billed_charge":258.3,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":162.75,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":171.44,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":156.26,"npi":[]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":112.35,"npi":[1295726032]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":214.2,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1275961765,1639659279]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1063402097]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":32.0,"npi":[1063482305]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":209.31,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84445","description":"Thyroid Stimulating Immunoglobulins (Tsi)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.1,"providers":[{"billed_charge":340.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.73,"providers":[{"billed_charge":18.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1356331060,1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1356331060,1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":113.52,"providers":[{"billed_charge":942.96,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1528190956]}]}]},{"tin":{"type":"ein","value":"911019392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":164.0,"npi":[1245792027]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":318.6,"providers":[{"billed_charge":354.0,"npi":[1801225446]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":78.75,"npi":[]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.21,"providers":[{"billed_charge":60.0,"npi":[1184794182]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.74,"providers":[{"billed_charge":408.31,"npi":[1609858729]},{"billed_charge":426.34,"npi":[1609858729]},{"billed_charge":443.39,"npi":[1609858729]}]},{"allowed_amount":201.85,"providers":[{"billed_charge":443.39,"npi":[1609858729]}]}]},{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":712.32,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1992418727]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":398.0,"npi":[1942491899]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":198.94,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.82,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":26.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":78.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84478","description":"Triglycerides","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.29,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":44.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86334","description":"Immunofixation Electrophoresis","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.55,"providers":[{"billed_charge":214.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.65,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"461650703"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":160.0,"npi":[1811256621]},{"billed_charge":195.0,"npi":[1811256621]}]}]},{"tin":{"type":"ein","value":"461650703"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":160.0,"npi":[1811256621]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"870217280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":60.27,"providers":[{"billed_charge":129.0,"npi":[1043868474,1588897524]}]},{"allowed_amount":70.91,"providers":[{"billed_charge":129.0,"npi":[1487863585]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77412","description":"Radiation delivery Level 3: multiple isocenters photon therapy (2D/3D/IMRT) or single-isocenter w/motion management, total skin electrons, or mixed fields; includes imaging","allowed_amounts":[{"tin":{"type":"ein","value":"411411888"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":151.43,"providers":[{"billed_charge":1840.0,"npi":[1831190412]}]},{"allowed_amount":461.27,"providers":[{"billed_charge":1840.0,"npi":[1386872547]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.06,"providers":[{"billed_charge":155.0,"npi":[1083676431,1871630350]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":245.1,"providers":[{"billed_charge":258.0,"npi":[1538146626]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.1,"providers":[{"billed_charge":38.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83935","description":"Osmolality; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.1,"providers":[{"billed_charge":78.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.9,"providers":[{"billed_charge":82.0,"npi":[1083249577]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":243.2,"providers":[{"billed_charge":256.0,"npi":[1770912172,1790964088]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":33.5,"npi":[1033230701,1346683364]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":89.48,"providers":[{"billed_charge":876.0,"npi":[1437495595]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":111.15,"providers":[{"billed_charge":117.0,"npi":[1457615999,1689651689]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99245","description":"Office or other OP consult for new or est. patient, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":943.35,"providers":[{"billed_charge":993.0,"npi":[1104806744,1417156597,1578533691,1598326308]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"330361048"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":42.37,"providers":[{"billed_charge":85.0,"npi":[1891787594]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":39.52,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]},{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":108.24,"providers":[{"billed_charge":573.04,"npi":[1609858729]},{"billed_charge":595.96,"npi":[1609858729]}]},{"allowed_amount":81.18,"providers":[{"billed_charge":446.97,"npi":[1609858729]},{"billed_charge":429.78,"npi":[1609858729]}]},{"allowed_amount":135.3,"providers":[{"billed_charge":744.95,"npi":[1609858729]},{"billed_charge":716.3,"npi":[1609858729]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":157.5,"providers":[{"billed_charge":388.35,"npi":[1295827780]}]},{"allowed_amount":105.0,"providers":[{"billed_charge":258.9,"npi":[1295827780]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0651RR","description":"Pneum Compressor Segmental","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":68.96,"providers":[{"billed_charge":134.0,"npi":[1427131424]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":21.07,"providers":[{"billed_charge":23.76,"npi":[1164157731]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1035.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":131.73,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":97.63,"npi":[1073599478]},{"billed_charge":99.75,"npi":[1073599478]},{"billed_charge":102.93,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":117.52,"npi":[1073599478]}]},{"allowed_amount":26.61,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]},{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":154.49,"providers":[{"billed_charge":186.29,"npi":[1346725678]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1528039484]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":10.0,"npi":[]},{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":20.0,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":10.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":47.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":17.05,"npi":[]}]},{"allowed_amount":2.72,"providers":[{"billed_charge":17.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":72.03,"npi":[1073599478]},{"billed_charge":71.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.5,"providers":[{"billed_charge":50.5,"npi":[]}]},{"allowed_amount":7.39,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":110.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81.7,"providers":[{"billed_charge":86.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":47.0,"npi":[]},{"billed_charge":41.07,"npi":[]}]},{"allowed_amount":16.9,"providers":[{"billed_charge":47.0,"npi":[]},{"billed_charge":134.4,"npi":[1073599478]},{"billed_charge":144.58,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":54.7,"npi":[1073599478]},{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":22.15,"npi":[]}]},{"allowed_amount":3.25,"providers":[{"billed_charge":22.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":48.5,"npi":[]}]},{"allowed_amount":19.03,"providers":[{"billed_charge":48.5,"npi":[]},{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]},{"billed_charge":31.5,"npi":[]},{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":198.19,"npi":[1073599478]},{"billed_charge":228.39,"npi":[1073599478]},{"billed_charge":208.95,"npi":[1073599478]}]},{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]},{"billed_charge":31.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]},{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":7.04,"providers":[{"billed_charge":24.0,"npi":[]},{"billed_charge":39.9,"npi":[]},{"billed_charge":32.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85730","description":"Thromboplastin Time, Partial (Ptt); Plasma/Whole Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.52,"providers":[{"billed_charge":46.2,"npi":[]},{"billed_charge":68.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86665","description":"Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.92,"providers":[{"billed_charge":129.24,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]},{"allowed_amount":105.78,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]},{"allowed_amount":111.0,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":457.34,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":370.0,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]},{"allowed_amount":374.55,"providers":[{"billed_charge":407.0,"npi":[1770973646]}]},{"allowed_amount":344.0,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]},{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":105.0,"npi":[]},{"billed_charge":116.57,"npi":[1073599478]}]},{"allowed_amount":96.9,"providers":[{"billed_charge":333.88,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":210.0,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":105.0,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":217.84,"npi":[]},{"billed_charge":233.14,"npi":[1073599478]},{"billed_charge":210.0,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1619934817]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":107.78,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":134.4,"npi":[1073599478]},{"billed_charge":135.45,"npi":[1073599478]},{"billed_charge":134.56,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.85,"providers":[{"billed_charge":221.0,"npi":[1124905328]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"421703993"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":162.94,"providers":[{"billed_charge":360.0,"npi":[1841998242]},{"billed_charge":385.0,"npi":[1841998242]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"833039201"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":102.21,"providers":[{"billed_charge":150.0,"npi":[1043415912]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.82,"providers":[{"billed_charge":145.96,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]},{"allowed_amount":63.65,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":333.0,"providers":[{"billed_charge":370.0,"npi":[1376533620]}]}]},{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":163.69,"providers":[{"billed_charge":275.1,"npi":[1669040291]}]}]},{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.85,"providers":[{"billed_charge":221.0,"npi":[1588273338]}]},{"allowed_amount":162.18,"providers":[{"billed_charge":221.0,"npi":[1134869670]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":314.45,"providers":[{"billed_charge":331.0,"npi":[1619956893,1811498090]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1689629081]}]},{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1932654571]}]}]},{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":366.83,"providers":[{"billed_charge":621.0,"npi":[1134310576]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":408.8,"providers":[{"billed_charge":471.9,"npi":[1306102413]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1255368148,1669040291]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1932654571]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1003159013]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1275710865]}]},{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1750517439]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"050585249"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.16,"providers":[{"billed_charge":91.93,"npi":[1952699043]}]},{"allowed_amount":38.5,"providers":[{"billed_charge":91.93,"npi":[1750438727,1952699043]}]},{"allowed_amount":29.2,"providers":[{"billed_charge":91.93,"npi":[1952699043]}]},{"allowed_amount":45.97,"providers":[{"billed_charge":91.93,"npi":[1952699043]}]},{"allowed_amount":29.17,"providers":[{"billed_charge":91.93,"npi":[1952699043]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":31.33,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":85.05,"npi":[1073599478]},{"billed_charge":197.4,"npi":[1073599478]},{"billed_charge":119.9,"npi":[1073599478]},{"billed_charge":198.43,"npi":[1073599478]}]},{"allowed_amount":81.07,"providers":[{"billed_charge":85.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":90.9,"providers":[{"billed_charge":101.0,"npi":[1528039484]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":40.8,"npi":[]},{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.1,"providers":[{"billed_charge":38.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1050.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":3.89,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]},{"billed_charge":46.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":35.0,"npi":[]}]},{"allowed_amount":9.71,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83935","description":"Osmolality; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.1,"providers":[{"billed_charge":78.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":200.67,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":3.89,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":31.8,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":24.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1528039484]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":30.26,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":70.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":223.25,"providers":[{"billed_charge":235.0,"npi":[1336489004]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]},{"allowed_amount":161.74,"providers":[{"billed_charge":373.8,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8836059","description":"Morphometric Analysis, Tumor Immunohistochemistry, Quantitative Or Semiquantitative, Ea Antibody; Manual","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":106.58,"providers":[{"billed_charge":200.0,"npi":[1740733708]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":41.0,"npi":[1871516625]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.18,"providers":[{"billed_charge":104.4,"npi":[1235258591]}]},{"allowed_amount":118.56,"providers":[{"billed_charge":124.8,"npi":[1962897298]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]},{"allowed_amount":543.64,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"261501890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":55.0,"npi":[1427083807]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]},{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":280.0,"providers":[{"billed_charge":1569.2,"npi":[1790734036]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":261.91,"providers":[{"billed_charge":268.46,"npi":[1215469721,1407804040,1740930874,1992025787]}]},{"allowed_amount":222.62,"providers":[{"billed_charge":268.46,"npi":[1659853992,1679974059]}]},{"allowed_amount":268.46,"providers":[{"billed_charge":268.46,"npi":[1578867370]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99291","description":"Critical Care, Evaluation & Management; First 30-74 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"471696666"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":954.25,"providers":[{"billed_charge":978.11,"npi":[1851824296]},{"billed_charge":1340.79,"npi":[1861645087]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":139.71,"npi":[]},{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":175.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":49.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":87.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.8,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":68.86,"providers":[{"billed_charge":109.18,"npi":[1386067478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":257.8,"providers":[{"billed_charge":360.0,"npi":[1891264545]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":407.51,"providers":[{"billed_charge":417.7,"npi":[1811422140]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1992822951]}]},{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1689629081,1992025787]}]},{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1790866580,1992822951]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"208172241"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":90.78,"providers":[{"billed_charge":210.18,"npi":[1982256830]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.38,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.37,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.28,"npi":[1104466994]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1386089977]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":103.14,"providers":[{"billed_charge":112.62,"npi":[1639315070]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"834204802"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":210.33,"providers":[{"billed_charge":742.0,"npi":[1518170042]}]}]},{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":155.27,"providers":[{"billed_charge":419.0,"npi":[1275984288]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99245","description":"Office or other OP consult for new or est. patient, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":943.35,"providers":[{"billed_charge":993.0,"npi":[1134484918,1356359111]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":237.84,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":390.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]},{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.36,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":280.0,"providers":[{"billed_charge":1569.2,"npi":[1790734036]}]},{"allowed_amount":420.0,"providers":[{"billed_charge":2353.8,"npi":[1790734036]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9338","description":"Home infusion therapy, immunotherapy therapy","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":59.0,"providers":[{"billed_charge":897.11,"npi":[1790734036]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":24.13,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]}]},{"allowed_amount":13.63,"providers":[{"billed_charge":46.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.75,"npi":[1073599478]},{"billed_charge":16.93,"npi":[1073599478]}]},{"allowed_amount":6.47,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]},{"allowed_amount":8.06,"providers":[{"billed_charge":22.82,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.0,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86148","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.68,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.24,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.24,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":184.02,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.5,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82653","description":"Elastase, pancreatic (EL-1), fecal; quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.9,"providers":[{"billed_charge":308.7,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":67.2,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":158.96,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":96.44,"npi":[1538144910]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861747274"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1538712815]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861747274"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1447382072,1538712815]}]}]},{"tin":{"type":"ein","value":"861747274"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1447382072]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"OB lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":12.0,"npi":[1750361200]}]}]},{"tin":{"type":"ein","value":"262072378"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.09,"providers":[{"billed_charge":10.0,"npi":[1225153828]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":240.39,"providers":[{"billed_charge":407.4,"npi":[1154323392]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":407.51,"providers":[{"billed_charge":417.7,"npi":[1003278391]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":257.8,"providers":[{"billed_charge":360.0,"npi":[1083379119]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":229.22,"providers":[{"billed_charge":408.0,"npi":[1831472679]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":515.59,"providers":[{"billed_charge":528.48,"npi":[1558557322]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1033435490]}]},{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1518288323]}]}]},{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.86,"providers":[{"billed_charge":275.1,"npi":[1144777418]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":145.41,"providers":[{"billed_charge":264.21,"npi":[1154323392]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1891817227]}]},{"allowed_amount":170.91,"providers":[{"billed_charge":350.0,"npi":[1881842839]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":159.69,"providers":[{"billed_charge":313.0,"npi":[1427108240]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1518455054,1831431980]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1205332129,1679132195]}]},{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1144263419]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":39.0,"npi":[1427108240]}]},{"allowed_amount":0.02,"providers":[{"billed_charge":39.0,"npi":[1568480804]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1003278391,1033435490]}]},{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1760137400,1912947086]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":528.48,"providers":[{"billed_charge":528.48,"npi":[1669675229]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"208172241"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.39,"providers":[{"billed_charge":105.09,"npi":[1982256830]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":250.0,"npi":[1073599478]}]},{"allowed_amount":81.07,"providers":[{"billed_charge":140.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.95,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.7,"providers":[{"billed_charge":117.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":94.0,"npi":[1073599478]}]},{"allowed_amount":15.47,"providers":[{"billed_charge":43.95,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":151.2,"npi":[]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232KX","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":106.8,"providers":[{"billed_charge":220.0,"npi":[1255330825]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":314.45,"providers":[{"billed_charge":331.0,"npi":[1750907622]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"810489339"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.0,"providers":[{"billed_charge":30.0,"npi":[1437207966]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":131.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":46.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":219.2,"providers":[{"billed_charge":219.2,"npi":[1699902726]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1548849656]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82248","description":"Bilirubin; Direct","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.02,"providers":[{"billed_charge":6.91,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":243.2,"providers":[{"billed_charge":256.0,"npi":[1962411231]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.43,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":149.74,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1063450120]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":16.59,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80360","description":"Methylphenidate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":15.49,"npi":[]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":23.0,"providers":[{"billed_charge":23.0,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"463495681"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":322.0,"npi":[1184005332,1225204886]}]}]},{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":718.0,"npi":[1598744658]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":737.0,"npi":[1598744658]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":398.0,"npi":[1043442007]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.88,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":37.3,"npi":[]},{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":171.38,"npi":[]},{"billed_charge":171.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":47.03,"npi":[1295726032]},{"billed_charge":111.93,"npi":[1295726032]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":82.95,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1386002038,1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":69.3,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]},{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":79.04,"npi":[]},{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":22.15,"npi":[]},{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":31.48,"npi":[]},{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]},{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":120.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.33,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]},{"allowed_amount":57.92,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.43,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":118.73,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]},{"billed_charge":108.55,"npi":[1073599478]},{"billed_charge":174.28,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":348.56,"npi":[]},{"billed_charge":232.06,"npi":[]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":467.87,"providers":[{"billed_charge":1200.0,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"223510467"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.14,"providers":[{"billed_charge":130.0,"npi":[1750373908]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.2,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]},{"allowed_amount":44.65,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":348.6,"npi":[]},{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"043791759"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.69,"providers":[{"billed_charge":165.0,"npi":[1609263789]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"933698009"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":200.0,"npi":[1841032877]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":148.0,"npi":[1194604140]}]},{"allowed_amount":37.52,"providers":[{"billed_charge":74.0,"npi":[1194604140]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.87,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":37.0,"npi":[1578504957]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":53.01,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1659301554]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1275961765]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1279.02,"npi":[1609858729]},{"billed_charge":1310.46,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":66.46,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.31,"providers":[{"billed_charge":109.52,"npi":[1538144910]}]},{"allowed_amount":20.62,"providers":[{"billed_charge":234.47,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":119.7,"npi":[1538144910]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":60.79,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":40.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.97,"providers":[{"billed_charge":12.6,"npi":[1134462963]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.49,"providers":[{"billed_charge":89.0,"npi":[1154182269]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":767.08,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":237.8,"npi":[1609812445]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":67.29,"providers":[{"billed_charge":230.0,"npi":[1023016557]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1578673372]}]},{"allowed_amount":278.0,"providers":[{"billed_charge":350.0,"npi":[1942298161]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.25,"providers":[{"billed_charge":99.0,"npi":[1811082993]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":430.0,"npi":[1114798071]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":150.0,"providers":[{"billed_charge":215.0,"npi":[]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1891264545]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.55,"providers":[{"billed_charge":34.0,"npi":[1013086693]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":63.17,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":94.32,"providers":[{"billed_charge":179.18,"npi":[1831501717]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1063450120]}]}]}]},{"name":"Contraceptive office visit/ family planning","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.02,"providers":[{"billed_charge":471.0,"npi":[1427224575]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"CT Scan, Head or Brain; Without Contrast Material","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":125.0,"npi":[1164409868]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":962.0,"npi":[1144942277]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":105.0,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":20.0,"npi":[1770619892]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1831725894]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":59.25,"npi":[1073599478]},{"billed_charge":47.73,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":44.55,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":20.0,"npi":[1770619892]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":650.0,"npi":[1346479169]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.43,"providers":[{"billed_charge":228.86,"npi":[1467890137]}]}]}]},{"name":"Transplant CT scan IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7125026","description":"Computed tomography, thorax, diagnostic; without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":128.74,"providers":[{"billed_charge":167.2,"npi":[1609810902,1962051342]}]}]}]},{"name":"Transplant hospital visit IP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0545","description":"Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":112.65,"providers":[{"billed_charge":146.3,"npi":[1073606331,1235588096,1477074250,1679775092,1992246136]}]},{"allowed_amount":124.35,"providers":[{"billed_charge":146.3,"npi":[1073606331]}]}]}]},{"name":"Transplant lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":100.98,"providers":[{"billed_charge":118.8,"npi":[1487958815]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":118.13,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4352KX","description":"Coude Tip Urinary Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1371.6,"providers":[{"billed_charge":1737.0,"npi":[1639160708]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":217.67,"npi":[]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":135.01,"providers":[{"billed_charge":192.0,"npi":[1528210085]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":228.9,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":633.65,"providers":[{"billed_charge":667.0,"npi":[1417937814]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":314.45,"providers":[{"billed_charge":331.0,"npi":[1225788003,1598326308]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232KX","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":165.0,"npi":[1255330825]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1790721538]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.78,"providers":[{"billed_charge":128.92,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":119.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":257.8,"providers":[{"billed_charge":360.0,"npi":[1124309224]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":40.0,"npi":[1023150851]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":86.26,"providers":[{"billed_charge":90.8,"npi":[1174187454]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":45.0,"npi":[1912017203]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":105.74,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8748159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"223510467"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.14,"providers":[{"billed_charge":130.0,"npi":[1750373908]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1992822951]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.77,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"200391730"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":111.0,"providers":[{"billed_charge":265.0,"npi":[1760418370]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1144795709]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.25,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.98,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.07,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779891","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.07,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.99,"providers":[{"billed_charge":70.0,"npi":[1497167720]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1417731605]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.21,"providers":[{"billed_charge":60.0,"npi":[1184794182]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1497218036]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.0,"providers":[{"billed_charge":46.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]},{"billed_charge":389.6,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1154598860]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":118.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1366479099]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1831138403]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"393843002"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":180.0,"npi":[1548019649]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"911787654"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":67.0,"npi":[1831785385]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":269.99,"providers":[{"billed_charge":269.99,"npi":[]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":9.89,"providers":[{"billed_charge":28.6,"npi":[1891107223]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.84,"providers":[{"billed_charge":28.14,"npi":[1578060711,1861412769]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":355.95,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":70.0,"providers":[{"billed_charge":392.3,"npi":[1790734036]}]},{"allowed_amount":140.0,"providers":[{"billed_charge":784.6,"npi":[1790734036]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":48.73,"npi":[1073599478]},{"billed_charge":111.3,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1760299986]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.95,"npi":[1073599478]},{"billed_charge":89.25,"npi":[]}]},{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":195.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.57,"providers":[{"billed_charge":23.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]},{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":155.62,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.46,"providers":[{"billed_charge":90.19,"npi":[]}]},{"allowed_amount":12.65,"providers":[{"billed_charge":112.62,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":148.59,"providers":[{"billed_charge":1322.19,"npi":[1073599478]}]},{"allowed_amount":113.82,"providers":[{"billed_charge":838.24,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.15,"providers":[{"billed_charge":47.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":46.87,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":128.29,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":41.0,"npi":[1033393806]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]},{"billed_charge":243.6,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"882534227"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":185.0,"npi":[1104385590]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":33.0,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.36,"providers":[{"billed_charge":2.36,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.36,"providers":[{"billed_charge":2.36,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"994844521"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":200.0,"npi":[1447474945]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":148.86,"providers":[{"billed_charge":275.0,"npi":[1598192676]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1760299986]},{"billed_charge":418.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":263.2,"npi":[1124800313]}]}]},{"tin":{"type":"ein","value":"320260988"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":144.18,"providers":[{"billed_charge":485.0,"npi":[1497717037]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1316329139,1689666927]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"824794684"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":299.51,"npi":[1457173320]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":30.32,"npi":[1073599478]},{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.99,"providers":[{"billed_charge":70.0,"npi":[1790980837]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1235227893,1700349404]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":323.48,"providers":[{"billed_charge":747.6,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":64.9,"npi":[1073599478]},{"billed_charge":132.51,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":17.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":59.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":40.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":47.41,"npi":[1073599478]},{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.5,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":41.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":22.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":46.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":560.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[1073599478]}]}]}]},{"name":"CT scan IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":98.31,"providers":[{"billed_charge":354.0,"npi":[1144753971,1225219421]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":245.1,"providers":[{"billed_charge":258.0,"npi":[1982800645]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":509.2,"providers":[{"billed_charge":536.0,"npi":[1235513284]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99244","description":"Office or OP consult for new or est. patient, req. a medically apt history and/or Ex. and moderate level of medical decision making. Total time of the encounter, 40 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":704.9,"providers":[{"billed_charge":742.0,"npi":[1982800645]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911911869"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":22.56,"providers":[{"billed_charge":35.0,"npi":[1174722755]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":110.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81.7,"providers":[{"billed_charge":86.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]},{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":133.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1558593046]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1194862417]}]},{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1386378586]}]},{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1821458241]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":148.86,"providers":[{"billed_charge":275.0,"npi":[1811364177]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.64,"providers":[{"billed_charge":313.0,"npi":[1881876860]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":54.44,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908LT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1801074232]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"392960395"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1801483193]}]}]},{"tin":{"type":"ein","value":"342005143"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":57.56,"providers":[{"billed_charge":60.0,"npi":[1083786768]}]}]},{"tin":{"type":"ein","value":"823356956"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1437658499]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":117.52,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":120.66,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":117.69,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":16.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":45.73,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":237.8,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":206.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.85,"providers":[{"billed_charge":221.0,"npi":[1124905328]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.08,"providers":[{"billed_charge":1138.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1260.06,"npi":[1609858729]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":88.46,"providers":[{"billed_charge":176.92,"npi":[1013383116]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":28.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":182.1,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":26.41,"npi":[]},{"billed_charge":21.18,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":33.33,"npi":[]},{"billed_charge":33.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":197.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":84.03,"npi":[]},{"billed_charge":83.33,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":29.43,"npi":[]},{"billed_charge":29.17,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":32.34,"npi":[]},{"billed_charge":31.94,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":77.1,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":236.25,"npi":[]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":54.29,"providers":[{"billed_charge":81.61,"npi":[1356360192]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":67.51,"providers":[{"billed_charge":100.81,"npi":[1356360192]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":515.53,"providers":[{"billed_charge":718.74,"npi":[1770779050]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1942298161]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"261442754"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":60.0,"npi":[1689732943]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.37,"providers":[{"billed_charge":149.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.85,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":129.43,"providers":[{"billed_charge":627.55,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1952304396]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940AT","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"931110050"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":72.0,"npi":[1356346381]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1285861989]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":43.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":31.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":78.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":21.53,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":14.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":29.86,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","allowed_amounts":[{"tin":{"type":"ein","value":"931110050"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":22.05,"npi":[1356346381]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]}]},{"allowed_amount":14.73,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":34.65,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.34,"providers":[{"billed_charge":204.31,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":117.29,"npi":[1538144910]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.06,"providers":[{"billed_charge":155.0,"npi":[1871630350]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":68.43,"npi":[1073599478]},{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":190.05,"npi":[]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"475194428"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.33,"providers":[{"billed_charge":100.0,"npi":[1952170904]}]},{"allowed_amount":26.96,"providers":[{"billed_charge":100.0,"npi":[1952170904]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.45,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"870574059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.02,"providers":[{"billed_charge":71.0,"npi":[1982079208]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.47,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870326048"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":64.58,"providers":[{"billed_charge":310.0,"npi":[1851595854]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":42.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":113.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764159","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staph Aureus, Methicillin Resistant, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.1,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":205.65,"providers":[{"billed_charge":315.9,"npi":[1245198084]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1720810278]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":707.5,"providers":[{"billed_charge":1415.0,"npi":[1093831042]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":19.83,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":24.17,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":118.82,"providers":[{"billed_charge":191.0,"npi":[1336465962]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"853428231"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":169.94,"providers":[{"billed_charge":275.0,"npi":[1194174284]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":57.16,"npi":[1366479099]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4557NU","description":"Lead Wires, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11.7,"providers":[{"billed_charge":39.0,"npi":[1770511552]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.65,"providers":[{"billed_charge":88.2,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":443.02,"providers":[{"billed_charge":538.0,"npi":[1538633656]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.79,"providers":[{"billed_charge":311.0,"npi":[1538633656]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":207.21,"providers":[{"billed_charge":279.0,"npi":[1992291652]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":72.79,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":45.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":53.6,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":263.68,"providers":[{"billed_charge":355.0,"npi":[1033712526]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.69,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.27,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.4,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":39.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":31.5,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":50.0,"npi":[1033203393]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":362.22,"npi":[]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":863.0,"npi":[1174996805]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":43.55,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":102.75,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":243.6,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.25,"providers":[{"billed_charge":46.25,"npi":[1851882724]}]},{"allowed_amount":92.5,"providers":[{"billed_charge":92.5,"npi":[1851882724]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":138.75,"npi":[1851882724]}]},{"allowed_amount":75.04,"providers":[{"billed_charge":92.5,"npi":[1851882724]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":243.01,"providers":[{"billed_charge":335.0,"npi":[1518600998]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":76.5,"providers":[{"billed_charge":102.0,"npi":[1295796894]}]},{"allowed_amount":91.8,"providers":[{"billed_charge":102.0,"npi":[1205097110]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652RR","description":"Pneum Compres W/Cal Pressure","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":371.0,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.74,"providers":[{"billed_charge":240.0,"npi":[1730466590]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.5,"providers":[{"billed_charge":115.0,"npi":[1528039484]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.98,"providers":[{"billed_charge":8.4,"npi":[1033400031]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":44.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.78,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]},{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]},{"allowed_amount":34.86,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1043476708]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":204.99,"providers":[{"billed_charge":204.99,"npi":[]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Speech therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92507","description":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual","allowed_amounts":[{"tin":{"type":"ein","value":"262832855"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.84,"providers":[{"billed_charge":200.0,"npi":[1992909162]}]},{"allowed_amount":105.53,"providers":[{"billed_charge":200.0,"npi":[1992909162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":438.4,"providers":[{"billed_charge":438.4,"npi":[1699902726]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"271361149"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":80.0,"npi":[1174482210]}]}]},{"tin":{"type":"ein","value":"810531276"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":55.0,"npi":[1346395944]}]}]},{"tin":{"type":"ein","value":"262683180"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1437211836]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2400.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":227.75,"providers":[{"billed_charge":274.58,"npi":[1598419665]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99418","description":"Prolonged inpatient/observ eval & mgmt svc time w/w/out direct pt contact beyond reqd time of prim svc when primary svc lev selected using total time, ea 15 mins of total time","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":87.92,"providers":[{"billed_charge":89.1,"npi":[1811428519]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":35.0,"npi":[1073599478]},{"billed_charge":51.22,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]},{"billed_charge":50.37,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":48.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":112.35,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":98.7,"npi":[1538144910]},{"billed_charge":129.78,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":66.12,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":72.36,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.21,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]},{"allowed_amount":70.22,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":107.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":344.0,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]},{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":82.59,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":165.2,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":91.77,"npi":[1073599478]},{"billed_charge":133.52,"npi":[1073599478]},{"billed_charge":232.0,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"830235231"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":124.5,"providers":[{"billed_charge":200.0,"npi":[1861793390]}]},{"allowed_amount":127.0,"providers":[{"billed_charge":200.0,"npi":[1861793390]}]},{"allowed_amount":100.0,"providers":[{"billed_charge":200.0,"npi":[1861793390]}]},{"allowed_amount":128.0,"providers":[{"billed_charge":200.0,"npi":[1861793390]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2400.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]},{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1750398517]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":271.26,"providers":[{"billed_charge":621.0,"npi":[1851887731]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"264283460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.92,"providers":[{"billed_charge":63.0,"npi":[1336868868]}]},{"allowed_amount":43.84,"providers":[{"billed_charge":126.0,"npi":[1336868868]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"260152289"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":49.05,"providers":[{"billed_charge":204.0,"npi":[1639677065,1851816540]}]},{"allowed_amount":20.44,"providers":[{"billed_charge":102.0,"npi":[1851816540]}]},{"allowed_amount":60.96,"providers":[{"billed_charge":306.0,"npi":[1639677065]}]},{"allowed_amount":65.8,"providers":[{"billed_charge":204.0,"npi":[1851816540]}]},{"allowed_amount":69.25,"providers":[{"billed_charge":306.0,"npi":[1639677065]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":25.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":130.21,"npi":[]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":154.79,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":154.79,"npi":[1073599478]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":130.21,"npi":[]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1215370630]}]},{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1609975226]}]},{"allowed_amount":278.0,"providers":[{"billed_charge":350.0,"npi":[1609975226]}]}]},{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.58,"providers":[{"billed_charge":460.0,"npi":[1023016557]}]},{"allowed_amount":67.29,"providers":[{"billed_charge":230.0,"npi":[1598951303]}]}]},{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":201.15,"npi":[1831551092]},{"billed_charge":203.34,"npi":[1346498755]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"912145819"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.91,"providers":[{"billed_charge":50.0,"npi":[1568498293]},{"billed_charge":57.0,"npi":[1568498293]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":279.99,"providers":[{"billed_charge":279.99,"npi":[]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4088","description":"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":47.28,"providers":[{"billed_charge":727.0,"npi":[1134151699]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":353.45,"npi":[1487646360]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.18,"providers":[{"billed_charge":51.0,"npi":[1861476921]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.02,"providers":[{"billed_charge":114.84,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":124.62,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":201.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":105.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.3,"providers":[{"billed_charge":253.77,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.03,"providers":[{"billed_charge":64.91,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":208.44,"providers":[{"billed_charge":315.9,"npi":[1619618469]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":80.18,"providers":[{"billed_charge":160.0,"npi":[1073812053]},{"billed_charge":165.45,"npi":[1033849252]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1174190052,1861806523]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":113.07,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831326","description":"Special Stains; Group Ii, All Other, Non-Immunocytochemistry & Non-Immunoperoxidase, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60.4,"providers":[{"billed_charge":92.0,"npi":[1417390287]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1417390287]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":22.08,"providers":[{"billed_charge":25.98,"npi":[1861463390]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.0,"providers":[{"billed_charge":25.69,"npi":[1003922394]}]},{"allowed_amount":15.72,"providers":[{"billed_charge":25.69,"npi":[1225023088]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":20.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":280.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":64.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]},{"billed_charge":120.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.95,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":109.1,"npi":[1073599478]},{"billed_charge":124.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":205.0,"npi":[1073599478]},{"billed_charge":257.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.79,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":258.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764159","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staph Aureus, Methicillin Resistant, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.1,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"262072378"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.09,"providers":[{"billed_charge":10.0,"npi":[1477728343]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"872384838"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":140.0,"npi":[1629592951]}]},{"allowed_amount":140.0,"providers":[{"billed_charge":140.0,"npi":[1629592951]}]}]},{"tin":{"type":"ein","value":"880683865"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":200.0,"npi":[1093994741]},{"billed_charge":160.0,"npi":[1093994741]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82542","description":"Column chromatography, mass spectrometry, if performed (eg, HPLC, LC, LC/MS LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":354.9,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and straightforward decision making. Ttl time on the date of the encounter = 10 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":107.15,"npi":[1073812053]}]},{"allowed_amount":42.44,"providers":[{"billed_charge":107.15,"npi":[1952715609]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":56.16,"npi":[1316469356]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.84,"providers":[{"billed_charge":28.14,"npi":[1326256314]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.16,"providers":[{"billed_charge":45.0,"npi":[1184794182]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME CPAP rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0601RR","description":"Continuous positive airway pressure (cpap) device","allowed_amounts":[{"tin":{"type":"ein","value":"611423158"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":52.6,"providers":[{"billed_charge":252.0,"npi":[1073551446]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":20.84,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":48.73,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":38.85,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":110.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":78.75,"npi":[1538144910]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":123.51,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":58.76,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":107.35,"providers":[{"billed_charge":113.0,"npi":[1538146626]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":455.05,"providers":[{"billed_charge":479.0,"npi":[1811969827]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":286.84,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":52.05,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":216.16,"providers":[{"billed_charge":319.0,"npi":[1679800932]}]}]},{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":162.18,"providers":[{"billed_charge":221.0,"npi":[1134869670]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1679800932]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":124.95,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":330.0,"npi":[1114798071]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.51,"providers":[{"billed_charge":34.0,"npi":[1770554859]}]},{"allowed_amount":23.4,"providers":[{"billed_charge":26.0,"npi":[1336245943]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":53.2,"providers":[{"billed_charge":56.0,"npi":[1043565765]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":204.99,"providers":[{"billed_charge":204.99,"npi":[]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.74,"providers":[{"billed_charge":424.64,"npi":[1609858729]}]},{"allowed_amount":201.85,"providers":[{"billed_charge":424.64,"npi":[1609858729]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.47,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]},{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.69,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":36.27,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":232.06,"npi":[]}]}]},{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":344.0,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]},{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":30.9,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":1500.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":271.77,"providers":[{"billed_charge":302.0,"npi":[1356506331]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97016","description":"Application, Modality To 1+ Areas; Vasopneumatic Devices","allowed_amounts":[{"tin":{"type":"ein","value":"264283460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.68,"providers":[{"billed_charge":28.0,"npi":[1336868868]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":103.95,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.5,"providers":[{"billed_charge":2.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.5,"providers":[{"billed_charge":2.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.5,"providers":[{"billed_charge":2.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.5,"providers":[{"billed_charge":2.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.45,"providers":[{"billed_charge":2.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":117.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":144.9,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":103.12,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":100.58,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":44.61,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":117.6,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":74.55,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":87.15,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":107.1,"npi":[1538144910]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"481274572"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.0,"providers":[{"billed_charge":25.0,"npi":[1033196027]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":201.15,"npi":[1346498755]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.25,"providers":[{"billed_charge":350.0,"npi":[1609975226]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":366.83,"providers":[{"billed_charge":621.0,"npi":[1558457028]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232KX","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":165.0,"npi":[1255330825]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":167.28,"npi":[1609812445]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1487928255,1962411231]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.0,"providers":[{"billed_charge":120.0,"npi":[1033452420]}]},{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1487928255]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":110.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":366.83,"providers":[{"billed_charge":621.0,"npi":[1184723827]}]}]}]},{"name":"ADD/ADHD/Dyslexia visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785SA","description":"Interactive Complexity (List Separately In Addition To The Code For Primary Procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"883690599"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.29,"providers":[{"billed_charge":30.0,"npi":[1558767186,1578945929]}]},{"allowed_amount":15.33,"providers":[{"billed_charge":30.0,"npi":[1558767186]}]},{"allowed_amount":28.81,"providers":[{"billed_charge":30.0,"npi":[1215025481]}]}]}]},{"name":"ADD/ADHD/Dyslexia visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837SA","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"883690599"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":200.0,"npi":[1558767186]}]},{"allowed_amount":157.58,"providers":[{"billed_charge":200.0,"npi":[1558767186,1578945929]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":356.4,"providers":[{"billed_charge":1188.0,"npi":[1770511552]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]},{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]},{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":462.02,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]},{"allowed_amount":457.34,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"882977235"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":352.0,"npi":[1659713212]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"870991348"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":188.5,"npi":[1891189338]},{"billed_charge":158.0,"npi":[1891189338]},{"billed_charge":157.58,"npi":[1891189338]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96156SA","description":"Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)","allowed_amounts":[{"tin":{"type":"ein","value":"883690599"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":119.12,"providers":[{"billed_charge":130.0,"npi":[1558767186]}]},{"allowed_amount":111.35,"providers":[{"billed_charge":130.0,"npi":[1558767186,1578945929]}]},{"allowed_amount":130.0,"providers":[{"billed_charge":130.0,"npi":[1215025481]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"923833139"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":61.25,"npi":[1700112794]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":96.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":285.0,"npi":[1184075988]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7685626","description":"Echography, Pelvic (Nonobstetric), B-Scan &/Or Real Time W/Image Documentation; Complete","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":112.0,"npi":[1487729281]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97155GT","description":"Adaptive behavior treatment w/ protocol mod, administered by physician or QHC professional, may incl simultaneous direction of tech, face-to-face with 1 patient, each 15 mins","allowed_amounts":[{"tin":{"type":"ein","value":"271402749"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":137.58,"providers":[{"billed_charge":315.0,"npi":[1689068181]}]},{"allowed_amount":165.1,"providers":[{"billed_charge":378.0,"npi":[1689068181]}]},{"allowed_amount":110.06,"providers":[{"billed_charge":252.0,"npi":[1689068181]}]},{"allowed_amount":220.13,"providers":[{"billed_charge":504.0,"npi":[1689068181]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97156GT","description":"Family adaptive behavior treatment guidance, administered by physician or QHC professional (w/ or w/o patient present), face-to-face w/ guardian(s)/caregiver(s), each 15 min","allowed_amounts":[{"tin":{"type":"ein","value":"271402749"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":82.55,"providers":[{"billed_charge":195.0,"npi":[1689068181]}]},{"allowed_amount":137.58,"providers":[{"billed_charge":325.0,"npi":[1689068181]}]},{"allowed_amount":110.06,"providers":[{"billed_charge":260.0,"npi":[1689068181]}]}]}]},{"name":"Allergy injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","description":"Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections","allowed_amounts":[{"tin":{"type":"ein","value":"923913218"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":14.96,"providers":[{"billed_charge":55.0,"npi":[1629852868]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1598971038,1962931204]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93298TC","description":"Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":79.82,"providers":[{"billed_charge":110.0,"npi":[1124678263]}]},{"allowed_amount":85.49,"providers":[{"billed_charge":110.0,"npi":[1124678263]}]},{"allowed_amount":85.59,"providers":[{"billed_charge":110.0,"npi":[1124678263]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9894359","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.05,"providers":[{"billed_charge":55.0,"npi":[1184128845,1992023766]}]},{"allowed_amount":55.0,"providers":[{"billed_charge":55.0,"npi":[1184128845,1992023766]}]}]}]},{"name":"Chiro service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":20.0,"npi":[1770619892]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"DME CPAP rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0601RR","description":"Continuous positive airway pressure (cpap) device","allowed_amounts":[{"tin":{"type":"ein","value":"611423158"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":52.6,"providers":[{"billed_charge":252.0,"npi":[1073551446]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":712.32,"npi":[1356334577]},{"billed_charge":767.08,"npi":[1356334577]}]}]},{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1279.02,"npi":[1609858729]},{"billed_charge":1290.03,"npi":[1609858729]},{"billed_charge":1284.81,"npi":[1609858729]}]},{"allowed_amount":80.74,"providers":[{"billed_charge":420.02,"npi":[1609858729]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0667RR","description":"Seg Pneumatic Appl Full Leg","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13.99,"providers":[{"billed_charge":72.0,"npi":[1427131424]}]}]}]},{"name":"DME tens unit rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0730RR","description":"Tens Four Lead","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":20.65,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]},{"allowed_amount":10.67,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4332KX","description":"Lubricant For Cath Insertion","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":3.9,"providers":[{"billed_charge":11.7,"npi":[1639160708]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4557NU","description":"Lead Wires, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":12.19,"providers":[{"billed_charge":39.0,"npi":[1770511552]}]},{"allowed_amount":11.7,"providers":[{"billed_charge":39.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":5.49,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":30.62,"npi":[]},{"billed_charge":24.37,"npi":[]},{"billed_charge":15.0,"npi":[]},{"billed_charge":14.87,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80357","description":"Ketamine and norketamine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":6.79,"npi":[]},{"billed_charge":15.31,"npi":[]},{"billed_charge":25.26,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80361","description":"Opiates, 1 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":31.1,"npi":[]},{"billed_charge":15.0,"npi":[]},{"billed_charge":22.98,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80366","description":"Pregabalin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":15.96,"npi":[]},{"billed_charge":7.08,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]},{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.74,"providers":[{"billed_charge":240.0,"npi":[1730466590]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.24,"providers":[{"billed_charge":587.0,"npi":[1699782722]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1124294350]}]}]},{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":34.0,"npi":[1578856449]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]},{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":69.84,"npi":[]},{"billed_charge":175.64,"npi":[1073599478]},{"billed_charge":213.15,"npi":[1073599478]},{"billed_charge":150.38,"npi":[1073599478]},{"billed_charge":68.07,"npi":[1073599478]},{"billed_charge":87.57,"npi":[1073599478]},{"billed_charge":107.79,"npi":[1073599478]},{"billed_charge":115.4,"npi":[]},{"billed_charge":149.49,"npi":[]},{"billed_charge":149.92,"npi":[1073599478]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]},{"billed_charge":355.95,"npi":[]}]},{"allowed_amount":63.65,"providers":[{"billed_charge":230.49,"npi":[]},{"billed_charge":323.19,"npi":[]}]},{"allowed_amount":77.22,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223AI","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":1389.0,"npi":[1295187367,1356729826,1730582321,1932780699]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":286.0,"npi":[1619747557,1942236559]}]}]},{"tin":{"type":"ein","value":"463495681"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":224.0,"npi":[1225204886,1790168409]}]}]},{"tin":{"type":"ein","value":"621658528"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":86.79,"providers":[{"billed_charge":170.0,"npi":[1336676105]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":134.56,"providers":[{"billed_charge":167.0,"npi":[1245495340,1285709568,1750330601]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":139.87,"providers":[{"billed_charge":267.0,"npi":[1396307211,1487077566,1508053174,1508354010,1740635051,1972532745]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":737.0,"npi":[1164159091,1598744658,1639776917,1730582321]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1902991672,1942236559]}]}]}]},{"name":"Hospital visit or service OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":626.0,"npi":[1043664121]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.18,"providers":[{"billed_charge":51.0,"npi":[1114489382]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":31.0,"npi":[1386002038,1578061883,1629727219,1689730616,1760299986]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1891731626]},{"billed_charge":100.75,"npi":[1891731626]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":55.83,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":33.0,"npi":[1073599478]},{"billed_charge":89.47,"npi":[1073599478]},{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":53.55,"npi":[1073599478]}]},{"allowed_amount":10.56,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":43.05,"npi":[1295726032]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1538144910]},{"billed_charge":24.0,"npi":[1538144910]},{"billed_charge":51.45,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":34.65,"npi":[1073599478]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.97,"providers":[{"billed_charge":88.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.77,"providers":[{"billed_charge":129.15,"npi":[]}]},{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":3.66,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.66,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":3.46,"providers":[{"billed_charge":3.46,"npi":[]}]},{"allowed_amount":4.71,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82653","description":"Elastase, pancreatic (EL-1), fecal; quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.63,"providers":[{"billed_charge":308.7,"npi":[]},{"billed_charge":250.0,"npi":[]}]},{"allowed_amount":17.9,"providers":[{"billed_charge":308.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.9,"providers":[{"billed_charge":129.23,"npi":[]}]},{"allowed_amount":15.12,"providers":[{"billed_charge":32.13,"npi":[]},{"billed_charge":94.44,"npi":[]},{"billed_charge":107.39,"npi":[]}]},{"allowed_amount":16.46,"providers":[{"billed_charge":123.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":12.21,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.46,"providers":[{"billed_charge":3.46,"npi":[]}]},{"allowed_amount":3.59,"providers":[{"billed_charge":13.5,"npi":[1073599478]},{"billed_charge":3.66,"npi":[1073599478]},{"billed_charge":43.05,"npi":[1073599478]},{"billed_charge":3.67,"npi":[1073599478]},{"billed_charge":3.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":47.83,"npi":[1538144910]},{"billed_charge":57.81,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":59.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83013","description":"H. Pylori; Analysis For Urease Activity, Non-Radioactive Isotope","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.0,"providers":[{"billed_charge":340.2,"npi":[1073599478]},{"billed_charge":207.25,"npi":[1073599478]},{"billed_charge":265.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":41.84,"providers":[{"billed_charge":668.96,"npi":[1073599478]}]},{"allowed_amount":10.46,"providers":[{"billed_charge":71.94,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]},{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]},{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1538144910]},{"billed_charge":41.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":16.91,"npi":[1073599478]},{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":16.93,"npi":[1073599478]},{"billed_charge":39.41,"npi":[1073599478]},{"billed_charge":43.05,"npi":[]}]},{"allowed_amount":6.47,"providers":[{"billed_charge":31.52,"npi":[1073599478]}]},{"allowed_amount":5.87,"providers":[{"billed_charge":31.52,"npi":[]},{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":91.72,"npi":[1073599478]},{"billed_charge":113.02,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":117.6,"npi":[1538144910]},{"billed_charge":122.38,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[1538144910]},{"billed_charge":138.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":48.5,"npi":[1073599478]},{"billed_charge":147.89,"npi":[1073599478]}]},{"allowed_amount":20.86,"providers":[{"billed_charge":138.0,"npi":[1073599478]}]},{"allowed_amount":18.75,"providers":[{"billed_charge":138.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1073590683,1144937442,1285324756,1366930463,1376510008,1386002038,1578061883,1609395102,1629727219,1689730616,1760299986,1891492773,1952056376,1962689695]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":13.95,"npi":[1073599478]},{"billed_charge":28.63,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":50.81,"npi":[1073599478]},{"billed_charge":44.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.48,"providers":[{"billed_charge":98.7,"npi":[]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":163.05,"npi":[1073599478]},{"billed_charge":44.7,"npi":[1073599478]},{"billed_charge":54.0,"npi":[1073599478]}]},{"allowed_amount":16.8,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":113.98,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.8,"providers":[{"billed_charge":39.0,"npi":[1073590683,1376510008,1386002038,1578061883,1689730616,1891492773,1952056376]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.76,"providers":[{"billed_charge":236.0,"npi":[1073599478]}]},{"allowed_amount":14.51,"providers":[{"billed_charge":137.55,"npi":[1073599478]},{"billed_charge":247.8,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":187.2,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":109.52,"npi":[1538144910]},{"billed_charge":122.1,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":234.02,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":120.22,"npi":[1538144910]},{"billed_charge":96.44,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":97.66,"npi":[1073599478]},{"billed_charge":95.36,"npi":[1073599478]},{"billed_charge":28.45,"npi":[1073599478]},{"billed_charge":119.7,"npi":[1073599478]}]},{"allowed_amount":13.19,"providers":[{"billed_charge":94.0,"npi":[]}]},{"allowed_amount":14.55,"providers":[{"billed_charge":94.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":30.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":108.03,"npi":[1073599478]},{"billed_charge":113.4,"npi":[1073599478]},{"billed_charge":112.59,"npi":[1073599478]},{"billed_charge":116.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":115.29,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":127.9,"npi":[1073599478]},{"billed_charge":135.45,"npi":[1073599478]},{"billed_charge":133.05,"npi":[1073599478]},{"billed_charge":137.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87328","description":"Crytosporidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":143.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":48.65,"npi":[1073599478]},{"billed_charge":73.45,"npi":[1073599478]},{"billed_charge":79.08,"npi":[1073599478]},{"billed_charge":91.35,"npi":[1073599478]},{"billed_charge":76.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87427","description":"Shiga-like toxin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":96.29,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":37.0,"npi":[1285676072,1689195414]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":119.29,"npi":[]},{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87496","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":35.43,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.43,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.61,"providers":[{"billed_charge":20.61,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]},{"billed_charge":138.37,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":125.07,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":142.68,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]},{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]},{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":35.94,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779891","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.07,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]},{"allowed_amount":30.38,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":29.25,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":32.23,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1356331060]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":208.95,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":166.75,"npi":[1073599478]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":60.9,"npi":[1073599478]},{"billed_charge":56.5,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1871613802]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837AH","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"932952612"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":515.0,"npi":[1790208221]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90853","description":"Group Psychotherapy (Other Than, Multiple-Family Group)","allowed_amounts":[{"tin":{"type":"ein","value":"204252583"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.42,"providers":[{"billed_charge":60.0,"npi":[1316062748]}]}]}]},{"name":"Mental professional child IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":426.0,"npi":[1124480264,1578966362]},{"billed_charge":410.0,"npi":[1578966362]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":176.92,"npi":[1326883059]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":46.35,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]},{"billed_charge":49.75,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.4,"npi":[]},{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.58,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":34.66,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Obesity endorsement office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"930573054"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.54,"providers":[{"billed_charge":235.0,"npi":[1164933065]}]}]}]},{"name":"Occupational therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GO","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"471918230"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.73,"providers":[{"billed_charge":300.0,"npi":[1013713254]}]},{"allowed_amount":159.33,"providers":[{"billed_charge":300.0,"npi":[1013713254]}]},{"allowed_amount":79.67,"providers":[{"billed_charge":150.0,"npi":[1013713254]}]},{"allowed_amount":137.91,"providers":[{"billed_charge":300.0,"npi":[1013713254]}]}]},{"tin":{"type":"ein","value":"205232346"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":136.76,"providers":[{"billed_charge":175.92,"npi":[1164180568]}]},{"allowed_amount":78.41,"providers":[{"billed_charge":175.92,"npi":[1164180568]}]},{"allowed_amount":78.71,"providers":[{"billed_charge":175.92,"npi":[1164180568]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","description":"Therapeutic, Prophylactic, or Diagnostic Injection (Specify Substance or Drug); Subcutaneous or Intramuscular","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.8,"providers":[{"billed_charge":56.0,"npi":[1629727219]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97605","description":"Negative Pressure Wound Therapy, Per Session; Total Area </= 50 Sq Cm","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.98,"providers":[{"billed_charge":147.0,"npi":[1649802232]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1972745230]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"870217280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.91,"providers":[{"billed_charge":129.0,"npi":[1407030695]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97010","description":"Application of a modality to 1 or more areas; hot or cold packs","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.44,"providers":[{"billed_charge":15.0,"npi":[1184128845]}]},{"allowed_amount":15.0,"providers":[{"billed_charge":15.0,"npi":[1184128845]}]}]},{"tin":{"type":"ein","value":"463651468"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.82,"providers":[{"billed_charge":20.0,"npi":[1063849081]}]},{"allowed_amount":20.0,"providers":[{"billed_charge":20.0,"npi":[1063849081]}]}]},{"tin":{"type":"ein","value":"832167663"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.82,"providers":[{"billed_charge":40.0,"npi":[1265242945,1265899967,1316496151,1356151989,1417372608,1417714353,1518785617,1609564376,1720951908,1770071250,1831741206]}]},{"allowed_amount":40.0,"providers":[{"billed_charge":40.0,"npi":[1316496151]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97012GP","description":"Application, Modality To 1+ Areas; Traction, Mechanical","allowed_amounts":[{"tin":{"type":"ein","value":"833832684"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.25,"providers":[{"billed_charge":55.0,"npi":[1952698987]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":55.0,"npi":[1952698987]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140XS","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"392837285"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.16,"providers":[{"billed_charge":60.0,"npi":[1023655396]}]},{"allowed_amount":112.56,"providers":[{"billed_charge":240.0,"npi":[1194480699]}]},{"allowed_amount":37.52,"providers":[{"billed_charge":240.0,"npi":[1194480699]}]}]}]},{"name":"Physical therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"910876634"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.0,"providers":[{"billed_charge":56.0,"npi":[1366838260]}]},{"allowed_amount":34.9,"providers":[{"billed_charge":56.0,"npi":[1366838260]}]}]},{"tin":{"type":"ein","value":"471918230"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.96,"providers":[{"billed_charge":75.0,"npi":[1619359643]}]},{"allowed_amount":30.0,"providers":[{"billed_charge":75.0,"npi":[1619359643]}]},{"allowed_amount":34.9,"providers":[{"billed_charge":75.0,"npi":[1619359643]}]},{"allowed_amount":60.0,"providers":[{"billed_charge":150.0,"npi":[1619359643]}]},{"allowed_amount":69.8,"providers":[{"billed_charge":150.0,"npi":[1619359643]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]},{"billed_charge":1050.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[1073599478]},{"billed_charge":39.97,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1073590683,1285324756]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":106.05,"npi":[1750368700]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1073590683,1285324756]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1073590683,1285324756,1356331060,1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[1073599478]},{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1073590683,1285324756]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":54.45,"npi":[1073599478]},{"billed_charge":87.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":30.32,"npi":[1073599478]},{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":104.79,"npi":[]},{"billed_charge":44.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":36.15,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":125.07,"npi":[]},{"billed_charge":86.5,"npi":[]},{"billed_charge":137.28,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":112.35,"npi":[1073599478]},{"billed_charge":129.15,"npi":[1073599478]},{"billed_charge":56.19,"npi":[1073599478]},{"billed_charge":70.95,"npi":[1073599478]},{"billed_charge":125.07,"npi":[]},{"billed_charge":156.26,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":140.36,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":64.84,"npi":[1073599478]},{"billed_charge":102.67,"npi":[1073599478]},{"billed_charge":114.3,"npi":[]},{"billed_charge":142.8,"npi":[1073599478]}]},{"allowed_amount":26.87,"providers":[{"billed_charge":125.46,"npi":[]},{"billed_charge":114.3,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.88,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]},{"allowed_amount":27.28,"providers":[{"billed_charge":65.95,"npi":[]},{"billed_charge":115.98,"npi":[]},{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":111.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":51.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":41.67,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":102.75,"npi":[]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":65.03,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]},{"billed_charge":100.8,"npi":[1073599478]},{"billed_charge":96.45,"npi":[1073599478]},{"billed_charge":63.0,"npi":[1073599478]},{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":25.0,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.07,"providers":[{"billed_charge":58.35,"npi":[1073599478]}]},{"allowed_amount":7.32,"providers":[{"billed_charge":45.88,"npi":[]}]},{"allowed_amount":7.43,"providers":[{"billed_charge":23.46,"npi":[1073599478]},{"billed_charge":45.88,"npi":[1073599478]},{"billed_charge":58.35,"npi":[1073599478]},{"billed_charge":30.4,"npi":[1073599478]},{"billed_charge":35.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.03,"providers":[{"billed_charge":64.91,"npi":[1538105366]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.33,"providers":[{"billed_charge":29.72,"npi":[]}]},{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[1073599478]},{"billed_charge":29.72,"npi":[1073599478]},{"billed_charge":15.19,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9940695","description":"Smoking and Tobacco Use Cessation Counseling Visit; Intermediate, Greater than 3 Minutes up to 10 Minutes","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":28.81,"providers":[{"billed_charge":30.0,"npi":[1134502602,1144878810,1558746131,1598003428,1689083438,1770835506]}]}]}]},{"name":"Speech therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9250759","description":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual","allowed_amounts":[{"tin":{"type":"ein","value":"454524233"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":150.0,"npi":[1164818902,1922490002]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":69.45,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80357","description":"Ketamine and norketamine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":6.79,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80360","description":"Methylphenidate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":6.87,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80366","description":"Pregabalin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.08,"npi":[]},{"billed_charge":27.47,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.59,"providers":[{"billed_charge":313.18,"npi":[1467890137]}]}]},{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]},{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.74,"providers":[{"billed_charge":240.0,"npi":[1730466590]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831226","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":50.0,"npi":[1417390287,1497167720]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831326","description":"Special Stains; Group Ii, All Other, Non-Immunocytochemistry & Non-Immunoperoxidase, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.1,"providers":[{"billed_charge":23.0,"npi":[1497167720]}]},{"allowed_amount":30.2,"providers":[{"billed_charge":46.0,"npi":[1417390287]}]},{"allowed_amount":45.3,"providers":[{"billed_charge":69.0,"npi":[1417390287]}]},{"allowed_amount":60.4,"providers":[{"billed_charge":92.0,"npi":[1417390287]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1487635371,1922452515]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1417390287,1497167720,1790980837]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":45.0,"npi":[1588494959]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":152.26,"providers":[{"billed_charge":250.0,"npi":[1811976251]}]},{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1790561298]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":220.3,"providers":[{"billed_charge":335.0,"npi":[1548051535,1922160712]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":284.49,"providers":[{"billed_charge":381.0,"npi":[1568725695]}]},{"allowed_amount":241.81,"providers":[{"billed_charge":381.0,"npi":[1922400910]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":171.42,"providers":[{"billed_charge":274.0,"npi":[1295311348]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":169.82,"providers":[{"billed_charge":240.0,"npi":[1588494959]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"454298417"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":179.51,"providers":[{"billed_charge":575.0,"npi":[1174411615]}]},{"allowed_amount":222.02,"providers":[{"billed_charge":575.0,"npi":[1336557644]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":264.38,"providers":[{"billed_charge":411.0,"npi":[1356749253]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":317.74,"providers":[{"billed_charge":571.0,"npi":[1730262726]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":431.74,"providers":[{"billed_charge":571.0,"npi":[1427156165]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"530943610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.32,"providers":[{"billed_charge":120.0,"npi":[1417259672]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"873384482"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":95.0,"npi":[1942773049]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.76,"providers":[{"billed_charge":34.0,"npi":[1144937442]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":390.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"540042746"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":165.0,"npi":[1376733600]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837AH","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"932952612"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":515.0,"npi":[1790208221]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":214.2,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":20.0,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":431.2,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":260.0,"providers":[{"billed_charge":1245.0,"npi":[1144429994]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":1494.0,"npi":[1871988295]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1366479099]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"845041605"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":68.08,"npi":[1467225920]},{"billed_charge":66.97,"npi":[1467225920,1649717695]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940AT","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"208624186"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":66.97,"npi":[1134837206]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"845041605"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.05,"providers":[{"billed_charge":63.41,"npi":[1467225920,1649717695]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":216.99,"providers":[{"billed_charge":216.99,"npi":[]}]}]},{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.99,"providers":[{"billed_charge":149.99,"npi":[]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":43.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":37.6,"npi":[1073599478]},{"billed_charge":26.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1386002038,1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":30.0,"npi":[1073599478]},{"billed_charge":49.85,"npi":[1073599478]},{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.3,"providers":[{"billed_charge":202.65,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82653","description":"Elastase, pancreatic (EL-1), fecal; quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.9,"providers":[{"billed_charge":308.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":106.05,"npi":[1073599478]},{"billed_charge":46.24,"npi":[1073599478]},{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":47.76,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1558916049]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]},{"billed_charge":20.52,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.04,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":117.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":44.0,"npi":[1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]},{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.8,"providers":[{"billed_charge":39.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":96.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":51.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":27.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764059","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2737.32,"providers":[{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82542","description":"Column chromatography, mass spectrometry, if performed (eg, HPLC, LC, LC/MS LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":354.9,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1386002038]},{"billed_charge":418.0,"npi":[1386002038]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":68.0,"npi":[1780327106]}]}]},{"tin":{"type":"ein","value":"951519327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.6,"providers":[{"billed_charge":150.0,"npi":[1598274383]}]},{"allowed_amount":40.8,"providers":[{"billed_charge":75.0,"npi":[1598274383]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9714059","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"845041605"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":55.14,"npi":[1467225920,1649717695]}]},{"allowed_amount":75.04,"providers":[{"billed_charge":110.28,"npi":[1467225920]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036QW","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.91,"providers":[{"billed_charge":23.0,"npi":[1215058904]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":185.04,"npi":[1073599478]},{"billed_charge":206.85,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":102.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.72,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":82.53,"npi":[1073599478]}]}]}]},{"name":"Precare xray adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":32.0,"npi":[1639517469]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"452215107"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":343.39,"npi":[1801226543]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]},{"allowed_amount":224.0,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":203.34,"npi":[1346498755]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":265.32,"providers":[{"billed_charge":480.0,"npi":[1922452515]}]},{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":162.16,"providers":[{"billed_charge":280.0,"npi":[1417390287]}]},{"allowed_amount":243.24,"providers":[{"billed_charge":420.0,"npi":[1790980837]}]}]},{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":121.48,"providers":[{"billed_charge":219.2,"npi":[1174620496]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831326","description":"Special Stains; Group Ii, All Other, Non-Immunocytochemistry & Non-Immunoperoxidase, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.1,"providers":[{"billed_charge":23.0,"npi":[1417390287]}]},{"allowed_amount":30.2,"providers":[{"billed_charge":46.0,"npi":[1417390287,1497167720]}]},{"allowed_amount":60.4,"providers":[{"billed_charge":92.0,"npi":[1790980837]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1417390287,1497167720,1790980837]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"393451431"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":265.0,"npi":[1114657129]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":28.3,"npi":[1083077408,1205194826,1447665971]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1447665971,1457649626,1962931204]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":99.9,"npi":[1619295516]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0621","description":"SO, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":33.46,"providers":[{"billed_charge":75.0,"npi":[1891728697]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81546","description":"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious)","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3600.0,"providers":[{"billed_charge":6400.0,"npi":[1134438427]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":102.93,"npi":[1073599478]},{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1588274864]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":118.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1588274864]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82542","description":"Column chromatography, mass spectrometry, if performed (eg, HPLC, LC, LC/MS LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":165.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.48,"providers":[{"billed_charge":202.65,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1588274864]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":117.6,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":117.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1588274864]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1588274864]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":37.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":149.28,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":53.0,"npi":[1073599478]},{"billed_charge":52.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":21.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":150.82,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":32.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":390.6,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":131.92,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":95.75,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1588274864]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.95,"providers":[{"billed_charge":128.45,"npi":[1285014282]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":178.35,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"821642452"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":132.25,"providers":[{"billed_charge":150.0,"npi":[1275704918]}]}]},{"tin":{"type":"ein","value":"920972665"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":107.01,"providers":[{"billed_charge":500.0,"npi":[1285411710]}]},{"allowed_amount":123.19,"providers":[{"billed_charge":500.0,"npi":[1861056343]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9920325","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.42,"providers":[{"billed_charge":274.0,"npi":[1598081325]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":554.21,"providers":[{"billed_charge":623.0,"npi":[1427346881]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1366829855]}]}]},{"tin":{"type":"ein","value":"571181758"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":97.15,"providers":[{"billed_charge":232.1,"npi":[1760182836,1801785043]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1700229929]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":292.22,"providers":[{"billed_charge":336.0,"npi":[1831759596]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":254.63,"providers":[{"billed_charge":391.0,"npi":[1184156572,1447370168,1811994668]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1275200123,1538335252,1588102107,1841723475]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1679806137]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":145.35,"providers":[{"billed_charge":226.0,"npi":[1902268238]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.62,"providers":[{"billed_charge":45.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":103.12,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":28.56,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":162.75,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":44.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":69.84,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":53.94,"npi":[]},{"billed_charge":125.46,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":37.0,"npi":[1528190956]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":6.0,"npi":[1265464960]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":265.32,"providers":[{"billed_charge":373.8,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":97.53,"providers":[{"billed_charge":223.0,"npi":[1770291486]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"931311054"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":80.0,"npi":[1760566012]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":66.07,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":39.5,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":66.07,"npi":[1932166386]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.68,"providers":[{"billed_charge":3.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":146.8,"providers":[{"billed_charge":712.32,"npi":[1356334577]}]}]}]},{"name":"Dental Medical Impacted Wisdom Tooth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7240","description":"Removal Of Impacted Tooth - Completely Bony","allowed_amounts":[{"tin":{"type":"ein","value":"882343374"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":425.01,"providers":[{"billed_charge":652.0,"npi":[1558622936]}]},{"allowed_amount":456.4,"providers":[{"billed_charge":652.0,"npi":[1588665723]}]},{"allowed_amount":652.0,"providers":[{"billed_charge":652.0,"npi":[1417940289,1558622936]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.25,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":214.26,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":217.29,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":171.4,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.33,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.2,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.3,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1790398238]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861747274"},"service_code":["10","02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1831460823]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":29.87,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.55,"providers":[{"billed_charge":46.2,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.55,"providers":[{"billed_charge":32.55,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.18,"providers":[{"billed_charge":238.35,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1407913379]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":33.0,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":235.2,"providers":[{"billed_charge":1913.59,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":112.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87045","description":"Culture, Bacterial; Feces W/Isolation & Preliminary Exam, Salmonella & Shigella Species","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":35.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":35.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87427","description":"Shiga-like toxin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":47.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":240.0,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Mental professional child residential","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":69.41,"providers":[{"billed_charge":202.0,"npi":[1013203652]}]}]}]},{"name":"Mental professional child residential","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","description":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":111.96,"providers":[{"billed_charge":292.0,"npi":[1013203652]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":10.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":111.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":29.72,"npi":[]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1649408055]}]},{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1154357580]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":9.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.74,"providers":[{"billed_charge":9.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":180.33,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":216.18,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]},{"billed_charge":145.54,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":207.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":167.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.44,"providers":[{"billed_charge":9.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":208.95,"npi":[]},{"billed_charge":228.39,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84445","description":"Thyroid Stimulating Immunoglobulins (Tsi)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.79,"providers":[{"billed_charge":340.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":971.25,"npi":[1073599478]}]},{"allowed_amount":129.6,"providers":[{"billed_charge":1059.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":131.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":115.44,"npi":[]},{"billed_charge":189.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86665","description":"Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.42,"providers":[{"billed_charge":296.72,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":73.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":35.1,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]},{"billed_charge":95.75,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":162.47,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":23.39,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]},{"billed_charge":102.0,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":99.0,"npi":[]},{"billed_charge":228.0,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9930925","description":"Subsequent nursing FAC, per day, for the E/M of pt, req. a medically apt history and/or Ex and moderate level of medical decision making. Total time of the encounter, 30 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":102.89,"providers":[{"billed_charge":306.0,"npi":[1013203652]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1528039484]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1770272148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":90.9,"providers":[{"billed_charge":101.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834GT","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"272253771"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":149.21,"providers":[{"billed_charge":230.0,"npi":[1558403089]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"932952612"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":515.0,"npi":[1497476113]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1225076359]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":100.0,"npi":[1437768306]},{"billed_charge":87.5,"npi":[1851882724]},{"billed_charge":89.5,"npi":[1710402516]},{"billed_charge":107.5,"npi":[1437768306,1710402516,1851882724]}]},{"allowed_amount":37.52,"providers":[{"billed_charge":44.75,"npi":[1710402516]},{"billed_charge":53.75,"npi":[1710402516]},{"billed_charge":62.5,"npi":[1437768306]},{"billed_charge":43.75,"npi":[1437768306]},{"billed_charge":50.0,"npi":[1437768306]}]},{"allowed_amount":112.56,"providers":[{"billed_charge":123.75,"npi":[1083852776]},{"billed_charge":131.25,"npi":[1851882724]},{"billed_charge":161.25,"npi":[1811218720]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.76,"providers":[{"billed_charge":452.0,"npi":[1689164832]}]},{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1871630350]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1487635371,1922452515]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":350.0,"npi":[1114798071]},{"billed_charge":430.0,"npi":[1114798071]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7683026","description":"Echography, Transvaginal","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.83,"providers":[{"billed_charge":113.0,"npi":[1487729281]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":33.09,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":43.55,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.8,"providers":[{"billed_charge":252.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":252.22,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":111.37,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1831600048]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1376510008,1629727219]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":210.97,"providers":[{"billed_charge":323.0,"npi":[1912225160]}]}]},{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":163.69,"providers":[{"billed_charge":275.1,"npi":[1801858923]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":292.22,"providers":[{"billed_charge":336.0,"npi":[1316329139]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":142.0,"npi":[1780327106]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.53,"providers":[{"billed_charge":53.75,"npi":[1811218720]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":145.96,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":101.81,"npi":[]},{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":265.32,"providers":[{"billed_charge":480.0,"npi":[1922452515]}]},{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1457408601,1487635371,1922452515]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1609975226]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1457408601]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1013399518]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":53.01,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":78.36,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":106.05,"npi":[]},{"billed_charge":85.74,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.08,"providers":[{"billed_charge":598.89,"npi":[]}]},{"allowed_amount":99.06,"providers":[{"billed_charge":264.6,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":397.76,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and straightforward decision making. Ttl time on the date of the encounter = 10 min","allowed_amounts":[{"tin":{"type":"ein","value":"930940205"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":82.5,"providers":[{"billed_charge":82.5,"npi":[1013085836]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":144.9,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":341.73,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.99,"providers":[{"billed_charge":70.0,"npi":[1497167720]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1740685585]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1063450120,1093761348]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":54.0,"npi":[]},{"billed_charge":99.75,"npi":[]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9338","description":"Home infusion therapy, immunotherapy therapy","allowed_amounts":[{"tin":{"type":"ein","value":"203948683"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":48.36,"providers":[{"billed_charge":250.0,"npi":[1245503648]}]},{"allowed_amount":125.23,"providers":[{"billed_charge":250.0,"npi":[1245503648]}]},{"allowed_amount":48.38,"providers":[{"billed_charge":250.0,"npi":[1245503648]}]},{"allowed_amount":49.09,"providers":[{"billed_charge":250.0,"npi":[1245503648]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":63.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":176.61,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":10.48,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":231.73,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":308.7,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":207.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":208.15,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":117.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Naturopath office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"901716480"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":143.51,"providers":[{"billed_charge":300.0,"npi":[1780189332]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":31.42,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":417.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":171.92,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":43.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":197.08,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":115.44,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":96.6,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1518402783]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":185.5,"npi":[1992216618]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":80.0,"npi":[1073599478]},{"billed_charge":85.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":1743.0,"npi":[1144429994]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"845041605"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.05,"providers":[{"billed_charge":63.41,"npi":[1649717695]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.37,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":229.26,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1073590683,1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1073590683,1083141196]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1073590683,1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":43.05,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":33.09,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":44.61,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84445","description":"Thyroid Stimulating Immunoglobulins (Tsi)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.1,"providers":[{"billed_charge":340.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.84,"providers":[{"billed_charge":126.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":38.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":165.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":130.08,"providers":[{"billed_charge":985.84,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":87.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":186.88,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.98,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.34,"providers":[{"billed_charge":159.6,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911866685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":316.26,"npi":[1942400536]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1073590683]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.53,"providers":[{"billed_charge":53.75,"npi":[1710402516]}]}]},{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.53,"providers":[{"billed_charge":71.0,"npi":[1780327106]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":209.31,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":52.56,"npi":[]},{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":170.79,"npi":[]},{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]},{"allowed_amount":663.3,"providers":[{"billed_charge":1200.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":100.58,"providers":[{"billed_charge":402.3,"npi":[1346498755]}]}]},{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1457747206]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.21,"providers":[{"billed_charge":60.0,"npi":[1184794182]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.25,"providers":[{"billed_charge":697.2,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764059","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.85,"providers":[{"billed_charge":50.0,"npi":[1659655124]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":30.26,"npi":[1538105366]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":580.79,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"860828589"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.0,"providers":[{"billed_charge":6.0,"npi":[1679189146]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":126.45,"npi":[]},{"billed_charge":142.8,"npi":[]},{"billed_charge":144.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":112.35,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":202.49,"npi":[]},{"billed_charge":99.0,"npi":[]},{"billed_charge":228.0,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"200277709"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":187.0,"providers":[{"billed_charge":534.0,"npi":[1609063247]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":51.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":54.0,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Chemical professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90853","description":"Group Psychotherapy (Other Than, Multiple-Family Group)","allowed_amounts":[{"tin":{"type":"ein","value":"811453666"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.26,"providers":[{"billed_charge":400.0,"npi":[1831144872]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1134212814]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":24.37,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":89.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[]},{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":21.79,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":10.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82248","description":"Bilirubin; Direct","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":6.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":10.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":50.68,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":136.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":72.53,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":270.0,"npi":[1104952415]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":230.49,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.44,"providers":[{"billed_charge":244.83,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":50.0,"npi":[1437768306]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.25,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.0,"providers":[{"billed_charge":149.95,"npi":[1619295516]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1376510008,1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":48.0,"npi":[1376510008,1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":207.21,"providers":[{"billed_charge":279.0,"npi":[1629521349]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":202.49,"npi":[]},{"billed_charge":99.0,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":349.74,"providers":[{"billed_charge":440.0,"npi":[1922452515]}]},{"allowed_amount":174.87,"providers":[{"billed_charge":220.0,"npi":[1922452515]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":480.0,"npi":[1649408055]}]}]},{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1215230578]}]},{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1043531999]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":185.5,"npi":[1912591975]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":99.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"454298417"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":179.51,"providers":[{"billed_charge":575.0,"npi":[1588190664]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":140.0,"providers":[{"billed_charge":784.62,"npi":[1386674067]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":38.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":74.55,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1477534972]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1215230578]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4352KX","description":"Coude Tip Urinary Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2286.0,"providers":[{"billed_charge":2895.0,"npi":[1639160708]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.11,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.11,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.11,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.11,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1962854034]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1093943805,1316262108]}]}]},{"tin":{"type":"ein","value":"272614493"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1902196249,1912169384]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[]},{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":105.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[]},{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.31,"providers":[{"billed_charge":109.52,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":74.25,"npi":[]},{"billed_charge":125.07,"npi":[]},{"billed_charge":111.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":101.82,"npi":[]},{"billed_charge":114.35,"npi":[]},{"billed_charge":67.88,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]},{"allowed_amount":64.61,"providers":[{"billed_charge":102.75,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":149.41,"providers":[{"billed_charge":338.0,"npi":[1205377181,1821226713]},{"billed_charge":352.0,"npi":[1821226713]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":410.0,"npi":[1063822435,1619409786,1861997280,1912471228]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":398.0,"npi":[1063822435,1437144078,1861997280]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"930502822"},"service_code":["02","11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":268.5,"npi":[1841984291]}]}]},{"tin":{"type":"ein","value":"393451431"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":265.0,"npi":[1114657129]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"833995193"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":225.0,"npi":[1063470987]}]}]},{"tin":{"type":"ein","value":"273781010"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":210.0,"npi":[1326261009]}]}]},{"tin":{"type":"ein","value":"465632661"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":170.0,"npi":[1891113361]}]},{"allowed_amount":157.58,"providers":[{"billed_charge":180.0,"npi":[1891113361]}]},{"allowed_amount":107.01,"providers":[{"billed_charge":180.0,"npi":[1891113361]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9084795","description":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"331930818"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":119.39,"providers":[{"billed_charge":225.0,"npi":[1740004084]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9085395","description":"Group Psychotherapy (Other Than, Multiple-Family Group)","allowed_amounts":[{"tin":{"type":"ein","value":"833995193"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":44.42,"providers":[{"billed_charge":80.0,"npi":[1063470987]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":113.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":130.21,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":228.0,"npi":[]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"923818310"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.77,"providers":[{"billed_charge":155.35,"npi":[1063253094]}]},{"allowed_amount":64.11,"providers":[{"billed_charge":155.35,"npi":[1063253094]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":57.5,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":286.25,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99310","description":"Subsequent nursing FAC, per day, for the E/M of a pt, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 45 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":147.65,"providers":[{"billed_charge":439.0,"npi":[1073743076]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":204.16,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":57.61,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":76.82,"npi":[]},{"billed_charge":80.59,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":76.83,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":80.59,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[1073599478]},{"billed_charge":76.82,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":73.65,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":895.0,"npi":[1487362489]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":79.07,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":270.0,"npi":[1457395154]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":57.14,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.18,"providers":[{"billed_charge":120.0,"npi":[1649407792]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":252.22,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":170.28,"providers":[{"billed_charge":315.0,"npi":[1063152080]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":40.0,"npi":[1063152080]}]}]}]},{"name":"Urgent care xray non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7363026","description":"Radiologic Exam, Foot; Complete, 3+ Views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":15.23,"providers":[{"billed_charge":23.49,"npi":[1164516878]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":113.4,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":254.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":145.96,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"362193608"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":86.82,"providers":[{"billed_charge":252.44,"npi":[1962822718]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1740522275]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":117.52,"npi":[1073599478]},{"billed_charge":64.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":125.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82024","description":"Assay Of Adrenocorticotropic Hormone (Acth)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.46,"providers":[{"billed_charge":279.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.36,"providers":[{"billed_charge":16.0,"npi":[1487978904]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":554.21,"providers":[{"billed_charge":844.0,"npi":[1942743216]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1487978904]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":271.26,"providers":[{"billed_charge":621.0,"npi":[1609164243]}]},{"allowed_amount":366.83,"providers":[{"billed_charge":621.0,"npi":[1730374661,1750793204,1881146868,1942743216]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":201.6,"npi":[1073599478]},{"billed_charge":250.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":43.95,"npi":[1073599478]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":170.3,"providers":[{"billed_charge":354.0,"npi":[1932632304]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":148.58,"npi":[1073599478]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":142.8,"providers":[{"billed_charge":147.3,"npi":[1871889212]}]},{"allowed_amount":132.57,"providers":[{"billed_charge":147.3,"npi":[1871889212]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.82,"providers":[{"billed_charge":3.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":3.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.82,"providers":[{"billed_charge":3.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":229.95,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":103.95,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":35.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":97.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.22,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"OB ER professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":114.63,"providers":[{"billed_charge":1813.84,"npi":[1407803612]}]},{"allowed_amount":1813.84,"providers":[{"billed_charge":1813.84,"npi":[1407803612]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":115.44,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86708","description":"Hepatitis A antibody (HAAb)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":114.37,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":75.67,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":126.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":17.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.31,"providers":[{"billed_charge":109.52,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":443.02,"providers":[{"billed_charge":538.0,"npi":[1114345022]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":61.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":22.54,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":10.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":243.17,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Mammography age 50 and over","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":67.51,"providers":[{"billed_charge":100.81,"npi":[1356360192]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"320260988"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":191.9,"providers":[{"billed_charge":379.0,"npi":[1528170586]}]}]},{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":145.37,"providers":[{"billed_charge":290.0,"npi":[1790715126]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":478.32,"providers":[{"billed_charge":579.0,"npi":[1326308339]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":16.96,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":43.04,"npi":[1538144910]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":22.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.28,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":125.46,"npi":[1073599478]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99244","description":"Office or OP consult for new or est. patient, req. a medically apt history and/or Ex. and moderate level of medical decision making. Total time of the encounter, 40 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":662.15,"providers":[{"billed_charge":697.0,"npi":[1720063878]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3.99,"providers":[{"billed_charge":4.2,"npi":[1588922231]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"932556741"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.69,"providers":[{"billed_charge":55.0,"npi":[1033534482]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":196.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82397","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":100.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]},{"billed_charge":144.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":118.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":209.62,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.5,"providers":[{"billed_charge":254.5,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":129.43,"providers":[{"billed_charge":627.55,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":60.72,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.73,"providers":[{"billed_charge":440.4,"npi":[1245494517]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"472965194"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":250.0,"npi":[1619236494]}]}]}]},{"name":"OB lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1124055702]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":633.65,"providers":[{"billed_charge":667.0,"npi":[1538523071]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1699728022]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"831157739"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.8,"providers":[{"billed_charge":120.0,"npi":[1871191122]}]},{"allowed_amount":44.22,"providers":[{"billed_charge":120.0,"npi":[1033855218]}]},{"allowed_amount":43.88,"providers":[{"billed_charge":120.0,"npi":[1871191122]}]},{"allowed_amount":50.87,"providers":[{"billed_charge":120.0,"npi":[1871191122]}]},{"allowed_amount":64.2,"providers":[{"billed_charge":180.0,"npi":[1871191122]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"831157739"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28.55,"providers":[{"billed_charge":80.0,"npi":[1033855218,1871191122]}]},{"allowed_amount":27.85,"providers":[{"billed_charge":80.0,"npi":[1871191122]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":203.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":46.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.37,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"922959598"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":150.0,"npi":[1316216369]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":16.93,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":40.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":63.43,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":56.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":17.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.73,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.98,"providers":[{"billed_charge":35.0,"npi":[1902141500]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.14,"providers":[{"billed_charge":112.62,"npi":[1770673360]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"223647673"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.33,"providers":[{"billed_charge":103.5,"npi":[1679179386,1821634122]}]},{"allowed_amount":20.21,"providers":[{"billed_charge":103.5,"npi":[1821634122]}]},{"allowed_amount":35.54,"providers":[{"billed_charge":207.0,"npi":[1821634122]}]},{"allowed_amount":30.66,"providers":[{"billed_charge":207.0,"npi":[1679179386,1821634122]}]},{"allowed_amount":45.99,"providers":[{"billed_charge":310.5,"npi":[1679179386,1821634122]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"223647673"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":122.5,"npi":[1679179386,1821634122]}]},{"allowed_amount":22.99,"providers":[{"billed_charge":122.5,"npi":[1679179386,1821634122]}]},{"allowed_amount":34.84,"providers":[{"billed_charge":245.0,"npi":[1821634122]}]},{"allowed_amount":40.41,"providers":[{"billed_charge":245.0,"npi":[1679179386]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.6,"providers":[{"billed_charge":293.92,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"273781010"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":105.0,"providers":[{"billed_charge":210.0,"npi":[1902225501]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":47.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":52.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832660588"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":135.0,"providers":[{"billed_charge":150.0,"npi":[1154103588]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1801329545]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1801329545]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":158.96,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":96.44,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":37.56,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.32,"providers":[{"billed_charge":143.42,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.84,"providers":[{"billed_charge":614.0,"npi":[1619061389]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":31.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":31.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]}]},{"allowed_amount":10.56,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":981.89,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":45.0,"npi":[1790715126]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.35,"providers":[{"billed_charge":88.63,"npi":[1245720820]}]},{"allowed_amount":5.25,"providers":[{"billed_charge":88.63,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.64,"providers":[{"billed_charge":232.01,"npi":[1245720820]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"DME compression stockings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530NU","description":"Compression stocking BK18-30","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[1891728697]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":398.0,"npi":[1851731681]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":73.59,"npi":[1073599478]},{"billed_charge":106.39,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]},{"billed_charge":209.85,"npi":[1073599478]},{"billed_charge":228.39,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]},{"billed_charge":212.72,"npi":[1073599478]},{"billed_charge":231.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":80.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":117.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":161.06,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":97.66,"npi":[1073599478]},{"billed_charge":115.44,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86664","description":"Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen (Ebna)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.09,"providers":[{"billed_charge":117.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":9.11,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":450.0,"npi":[1134737521]},{"billed_charge":468.0,"npi":[1134737521]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"931331676"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":99.44,"npi":[1407700933,1619538006,1770219537]}]},{"allowed_amount":81.6,"providers":[{"billed_charge":198.88,"npi":[1619538006]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":193.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":73.59,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.84,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1144976770]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930623390"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1145.0,"npi":[1356895320]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":114.45,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]},{"billed_charge":88.33,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.03,"providers":[{"billed_charge":138.87,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":23.0,"npi":[1083141196]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":228.0,"npi":[]}]},{"allowed_amount":58.25,"providers":[{"billed_charge":202.49,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.87,"providers":[{"billed_charge":220.0,"npi":[1922452515]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":1187.2,"npi":[1356334577]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"916001537"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.47,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":602.0,"npi":[1962812891]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":70.0,"npi":[]},{"billed_charge":74.25,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":70.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":60.12,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":67.88,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":122.06,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831226","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":50.0,"npi":[1790980837]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1790980837]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":41.0,"npi":[1891786968]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1891786968]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":178.35,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":189.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":45.88,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":330.0,"npi":[1114798071]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":45.73,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.63,"providers":[{"billed_charge":61.75,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":175.64,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":230.49,"npi":[]},{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]},{"billed_charge":355.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":39.5,"npi":[1073599478]},{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":19.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":80.59,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":10.58,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":24.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":43.25,"npi":[1073599478]},{"billed_charge":94.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":78.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":113.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86334","description":"Immunofixation Electrophoresis","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.55,"providers":[{"billed_charge":84.84,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":193.11,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":113.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]},{"billed_charge":40.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":92.79,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":24.0,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82653","description":"Elastase, pancreatic (EL-1), fecal; quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.9,"providers":[{"billed_charge":250.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":107.04,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87045","description":"Culture, Bacterial; Feces W/Isolation & Preliminary Exam, Salmonella & Shigella Species","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":114.34,"npi":[]},{"billed_charge":220.5,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":57.17,"npi":[]},{"billed_charge":110.24,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":114.35,"npi":[]},{"billed_charge":220.51,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":32.55,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1871613802]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.15,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1497723704]}]},{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1497723704]}]}]},{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1174652473,1457448771]}]}]},{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":1743.0,"npi":[1144429994]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":162.27,"providers":[{"billed_charge":297.28,"npi":[1306042957]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":91.8,"providers":[{"billed_charge":102.0,"npi":[1417931965]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.56,"npi":[1073599478]},{"billed_charge":48.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.48,"providers":[{"billed_charge":202.65,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":240.45,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":6.45,"npi":[1073599478]},{"billed_charge":20.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]},{"billed_charge":96.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.83,"providers":[{"billed_charge":2.83,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":45.88,"npi":[1073599478]},{"billed_charge":75.6,"npi":[]},{"billed_charge":58.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.89,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":134.96,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":47.75,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":47.25,"npi":[1073599478]},{"billed_charge":52.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.99,"providers":[{"billed_charge":70.0,"npi":[1497167720]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"454298417"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":179.51,"providers":[{"billed_charge":575.0,"npi":[1336797414]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":229.22,"providers":[{"billed_charge":408.0,"npi":[1568077584]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1235227893]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":280.41,"providers":[{"billed_charge":382.0,"npi":[1467276022]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911911869"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":38.0,"npi":[1215252705]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":158.96,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":119.9,"npi":[1073599478]},{"billed_charge":190.05,"npi":[]},{"billed_charge":131.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":183.0,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":330.0,"npi":[1114798071]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7126026","description":"Computed tomography, thorax, diagnostic; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":228.53,"providers":[{"billed_charge":502.0,"npi":[1255894580,1518957836]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330826","description":"Echocardiography, Transthoracic, 2d, W/Wo M-Mode; Follow-Up/Limited Study","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":54.71,"providers":[{"billed_charge":80.3,"npi":[1396428561]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0651RR","description":"Pneum Compressor Segmental","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":68.96,"providers":[{"billed_charge":134.0,"npi":[1427131424]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652RR","description":"Pneum Compres W/Cal Pressure","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":371.0,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]},{"allowed_amount":634.69,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":23.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":195.36,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":199.56,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":94.3,"npi":[1073599478]}]},{"allowed_amount":25.62,"providers":[{"billed_charge":163.17,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":187.62,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]},{"billed_charge":53.13,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":61.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":21.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":80.0,"npi":[1073599478]},{"billed_charge":184.86,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":60.0,"npi":[1073599478]},{"billed_charge":155.46,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]},{"billed_charge":253.14,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":134.4,"providers":[{"billed_charge":1098.44,"npi":[]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":981.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":86.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":86.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86334","description":"Immunofixation Electrophoresis","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.55,"providers":[{"billed_charge":171.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]},{"billed_charge":77.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]},{"billed_charge":70.63,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":141.28,"npi":[]},{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":30.9,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"810302402"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":106.04,"providers":[{"billed_charge":165.0,"npi":[1255362992]},{"billed_charge":200.0,"npi":[1255362992]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]},{"billed_charge":1500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1760876361]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1073068714,1518629237,1568294411]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":153.99,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":893.0,"providers":[{"billed_charge":940.0,"npi":[1366546863]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":477.84,"providers":[{"billed_charge":597.3,"npi":[1275893554]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":456.46,"providers":[{"billed_charge":570.57,"npi":[1518629237]}]}]}]},{"name":"Transplant xray IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":22.88,"providers":[{"billed_charge":28.6,"npi":[1083822068]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7356226","description":"Radiologic examination, knee; 3 views","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":18.09,"providers":[{"billed_charge":28.0,"npi":[1124294350]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1124294350]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":895.0,"npi":[1518402783]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":426.0,"npi":[1114594157,1952514341]}]}]},{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":718.0,"npi":[1942812219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":196.42,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1538144910]},{"billed_charge":109.1,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":205.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":150.82,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":98.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":60.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[]},{"billed_charge":30.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":96.34,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":127.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":101.82,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":123.51,"npi":[1538144910]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1447755699,1629000443]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":32.0,"npi":[1275503609]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1164462784,1629489679,1659784148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":337.5,"providers":[{"billed_charge":375.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":51.0,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87045","description":"Culture, Bacterial; Feces W/Isolation & Preliminary Exam, Salmonella & Shigella Species","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":59.53,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":93.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":56.74,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":87.98,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":87.98,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]},{"billed_charge":14.08,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":133.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82542","description":"Column chromatography, mass spectrometry, if performed (eg, HPLC, LC, LC/MS LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":125.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":61.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":47.8,"npi":[1073599478]},{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":65.2,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.74,"providers":[{"billed_charge":373.8,"npi":[]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":517.5,"providers":[{"billed_charge":2785.5,"npi":[1295827780]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.74,"providers":[{"billed_charge":424.64,"npi":[1609858729]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":157.5,"providers":[{"billed_charge":388.35,"npi":[1295827780]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":53.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":108.86,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":193.91,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":83.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":51.19,"npi":[1073599478]},{"billed_charge":64.04,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":179.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":95.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":249.56,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":40.54,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":400.95,"providers":[{"billed_charge":597.3,"npi":[1568824217]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1568824217]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.0,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":62.34,"npi":[1073599478]}]}]}]},{"name":"Mental professional child IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":286.0,"npi":[1033124540,1538280508,1578966362]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":102.93,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":241.6,"providers":[{"billed_charge":302.0,"npi":[1336218635]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]},{"allowed_amount":156.89,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":355.95,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":83.25,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":115.75,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]}]}]},{"name":"Transplant hospital visit IP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0545","description":"Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":111.88,"providers":[{"billed_charge":146.3,"npi":[1235588096]}]},{"allowed_amount":112.64,"providers":[{"billed_charge":146.3,"npi":[1477074250]}]},{"allowed_amount":112.65,"providers":[{"billed_charge":146.3,"npi":[1073606331,1235588096,1255648275,1477074250,1659532885,1992246136]}]}]}]},{"name":"Transplant lab IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330826","description":"Echocardiography, Transthoracic, 2d, W/Wo M-Mode; Follow-Up/Limited Study","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":61.82,"providers":[{"billed_charge":80.3,"npi":[1245370436]}]},{"allowed_amount":61.83,"providers":[{"billed_charge":80.3,"npi":[1245370436]}]},{"allowed_amount":61.84,"providers":[{"billed_charge":80.3,"npi":[1134231194,1558446377,1720584683]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":252.66,"providers":[{"billed_charge":355.0,"npi":[1033712526]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":53.01,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":51.0,"npi":[1073599478]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":481.0,"providers":[{"billed_charge":962.0,"npi":[1073755484]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":37.51,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":124.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":143.93,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":205.72,"npi":[1538144910]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":43.52,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":119.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":107.7,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.0,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":94.1,"providers":[{"billed_charge":216.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":153.75,"providers":[{"billed_charge":369.0,"npi":[1659574127]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":419.85,"npi":[1619295516]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1184186785]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":94.51,"npi":[]},{"billed_charge":132.51,"npi":[]},{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":286.0,"npi":[1003443391]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1003443391]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":110.02,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":11.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":14.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":252.66,"providers":[{"billed_charge":355.0,"npi":[1417731605]}]}]},{"tin":{"type":"ein","value":"454298417"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":193.88,"providers":[{"billed_charge":575.0,"npi":[1396524567]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":407.51,"providers":[{"billed_charge":417.7,"npi":[1497868392]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":21.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":34.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":962.0,"npi":[1548849656]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":61.5,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":109.52,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87328","description":"Crytosporidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":143.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":203.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"911742914"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.7,"providers":[{"billed_charge":51.0,"npi":[1306849955]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":57.0,"npi":[1073599478]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1942775721]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":21.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.03,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":15.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":192.0,"providers":[{"billed_charge":1159.04,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":127.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":60.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":25.2,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":122.85,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":123.0,"providers":[{"billed_charge":123.0,"npi":[1659574127]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":232.65,"providers":[{"billed_charge":345.0,"npi":[1336245943]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":136.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":72.17,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":158.14,"providers":[{"billed_charge":239.58,"npi":[1083973002]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[1073599478]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":114.92,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":112.08,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":125.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":198.17,"providers":[{"billed_charge":315.0,"npi":[1659261188]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":1494.0,"npi":[1144429994]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98942","description":"Chiropractic Manipulative Treatment (Cmt); Spinal, 5 Regions","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.35,"providers":[{"billed_charge":110.0,"npi":[1992023766]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"800548034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.05,"providers":[{"billed_charge":55.0,"npi":[1104324672,1104959360]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":355.95,"npi":[]},{"billed_charge":323.19,"npi":[]}]},{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1386002038,1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":104.48,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":126.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1386002038,1659145548,1891492773]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":48.0,"npi":[1144937442]},{"billed_charge":49.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":36.75,"npi":[1538144910]}]},{"allowed_amount":22.1,"providers":[{"billed_charge":228.39,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","description":"Therapeutic, Prophylactic, or Diagnostic Injection (Specify Substance or Drug); Subcutaneous or Intramuscular","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.8,"providers":[{"billed_charge":56.0,"npi":[1144937442,1386002038]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":418.0,"npi":[1689730616]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97010","description":"Application of a modality to 1 or more areas; hot or cold packs","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.44,"providers":[{"billed_charge":12.0,"npi":[1992023766]},{"billed_charge":15.0,"npi":[1184128845]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":45.3,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":122.85,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":189.35,"npi":[]},{"billed_charge":214.2,"npi":[]},{"billed_charge":99.0,"npi":[]}]},{"allowed_amount":58.25,"providers":[{"billed_charge":189.35,"npi":[]},{"billed_charge":99.0,"npi":[]},{"billed_charge":214.2,"npi":[]},{"billed_charge":177.1,"npi":[]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"930593725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":39.0,"npi":[1497787485]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9701259","description":"Application, Modality To 1+ Areas; Traction, Mechanical","allowed_amounts":[{"tin":{"type":"ein","value":"800548034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.17,"providers":[{"billed_charge":25.0,"npi":[1104959360]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"271296041"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.0,"providers":[{"billed_charge":70.0,"npi":[1437208881]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":15.72,"providers":[{"billed_charge":25.69,"npi":[1225023088]},{"billed_charge":23.72,"npi":[1225023088]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1659538627,1790866580]}]},{"allowed_amount":22.58,"providers":[{"billed_charge":53.64,"npi":[1255990503]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1083078521,1255990503]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1083078521,1790866580]}]},{"allowed_amount":21.02,"providers":[{"billed_charge":23.09,"npi":[1790866580]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":17.0,"providers":[{"billed_charge":19.0,"npi":[1659344471]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.67,"providers":[{"billed_charge":190.31,"npi":[1255990503,1558143909]}]},{"allowed_amount":190.31,"providers":[{"billed_charge":190.31,"npi":[1346502770]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[]}]}]}]},{"name":"Chemical professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834UD","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"020581938"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":73.93,"providers":[{"billed_charge":73.93,"npi":[1073060414]}]},{"allowed_amount":85.17,"providers":[{"billed_charge":85.17,"npi":[1073060414]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98942","description":"Chiropractic Manipulative Treatment (Cmt); Spinal, 5 Regions","allowed_amounts":[{"tin":{"type":"ein","value":"261501890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.78,"providers":[{"billed_charge":75.0,"npi":[1427083807]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1050.0,"npi":[1346479169]},{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":162.0,"providers":[{"billed_charge":299.9,"npi":[1619295516]}]},{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]},{"allowed_amount":405.0,"providers":[{"billed_charge":699.75,"npi":[1619295516]},{"billed_charge":749.75,"npi":[1619295516]}]},{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4161","description":"EF ped hydrolyzed/amino acid","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1164.24,"providers":[{"billed_charge":4060.0,"npi":[1134151699]}]},{"allowed_amount":1580.04,"providers":[{"billed_charge":5850.0,"npi":[1134151699]}]},{"allowed_amount":2841.99,"providers":[{"billed_charge":4060.0,"npi":[1134151699]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"883286578"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.15,"providers":[{"billed_charge":2500.0,"npi":[1366150773]}]}]},{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":88.23,"providers":[{"billed_charge":176.0,"npi":[1730466590]}]}]},{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":2988.1,"npi":[1063011898]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92134","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina","allowed_amounts":[{"tin":{"type":"ein","value":"870525682"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":55.4,"providers":[{"billed_charge":95.0,"npi":[1629364054]}]},{"allowed_amount":58.5,"providers":[{"billed_charge":95.0,"npi":[1629364054]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":114.63,"providers":[{"billed_charge":1813.84,"npi":[1750423539,1770087207]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":2461.65,"npi":[1407010713,1407803612,1528177151,1770087207]}]}]},{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":874.0,"npi":[1649756404]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]},{"billed_charge":56.25,"npi":[1073599478]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":140.0,"providers":[{"billed_charge":784.62,"npi":[1386674067]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":372.44,"providers":[{"billed_charge":372.44,"npi":[1285166512]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":269.96,"providers":[{"billed_charge":321.16,"npi":[1366604423]}]},{"allowed_amount":321.16,"providers":[{"billed_charge":321.16,"npi":[1538321815,1619909314]}]},{"allowed_amount":222.62,"providers":[{"billed_charge":268.46,"npi":[1235826371,1598326084,1659995942]}]},{"allowed_amount":268.46,"providers":[{"billed_charge":268.46,"npi":[1437689429,1609352111,1619909314,1770078461]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82024","description":"Assay Of Adrenocorticotropic Hormone (Acth)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.46,"providers":[{"billed_charge":279.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":71.99,"npi":[]},{"billed_charge":74.24,"npi":[1073599478]},{"billed_charge":37.99,"npi":[]},{"billed_charge":39.97,"npi":[]},{"billed_charge":26.46,"npi":[1073599478]}]},{"allowed_amount":5.22,"providers":[{"billed_charge":109.2,"npi":[]},{"billed_charge":74.24,"npi":[]},{"billed_charge":26.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.59,"providers":[{"billed_charge":205.8,"npi":[]}]},{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.54,"providers":[{"billed_charge":6.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":154.81,"npi":[1073599478]},{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":35.0,"npi":[]},{"billed_charge":81.9,"npi":[]}]},{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":35.0,"npi":[]},{"billed_charge":45.3,"npi":[1073599478]}]},{"allowed_amount":9.71,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1790721538]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":184.8,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":214.5,"npi":[1063497451]},{"billed_charge":215.6,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.32,"providers":[{"billed_charge":143.42,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":38.85,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":40.0,"npi":[1073599478]},{"billed_charge":41.45,"npi":[]},{"billed_charge":40.97,"npi":[]},{"billed_charge":41.27,"npi":[]},{"billed_charge":43.05,"npi":[]}]},{"allowed_amount":6.07,"providers":[{"billed_charge":41.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":21.53,"npi":[]},{"billed_charge":22.15,"npi":[]},{"billed_charge":21.68,"npi":[]}]},{"allowed_amount":3.25,"providers":[{"billed_charge":22.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.57,"providers":[{"billed_charge":332.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]},{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]},{"billed_charge":28.47,"npi":[]},{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]}]},{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":209.85,"npi":[]},{"billed_charge":184.22,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":148.05,"npi":[]},{"billed_charge":74.97,"npi":[]},{"billed_charge":89.89,"npi":[]}]},{"allowed_amount":8.32,"providers":[{"billed_charge":40.0,"npi":[1073599478]},{"billed_charge":75.37,"npi":[1073599478]},{"billed_charge":76.23,"npi":[1073599478]},{"billed_charge":88.05,"npi":[1073599478]},{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":130.55,"npi":[1063497451]},{"billed_charge":129.45,"npi":[1063497451]},{"billed_charge":106.05,"npi":[1538144910]},{"billed_charge":177.28,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[1073599478]},{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":110.07,"npi":[1073599478]},{"billed_charge":127.2,"npi":[1073599478]},{"billed_charge":163.05,"npi":[1073599478]}]},{"allowed_amount":14.99,"providers":[{"billed_charge":167.36,"npi":[]},{"billed_charge":112.05,"npi":[]},{"billed_charge":129.78,"npi":[]},{"billed_charge":109.2,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":116.9,"npi":[1063497451]},{"billed_charge":98.7,"npi":[1538144910]},{"billed_charge":115.8,"npi":[1063497451]}]},{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":198.45,"npi":[]}]},{"allowed_amount":15.47,"providers":[{"billed_charge":141.63,"npi":[1073599478]},{"billed_charge":245.7,"npi":[1073599478]},{"billed_charge":43.95,"npi":[1073599478]},{"billed_charge":263.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":274.9,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]},{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]},{"billed_charge":28.47,"npi":[]},{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]},{"allowed_amount":2.44,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85730","description":"Thromboplastin Time, Partial (Ptt); Plasma/Whole Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.52,"providers":[{"billed_charge":65.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.68,"providers":[{"billed_charge":548.0,"npi":[]}]},{"allowed_amount":76.8,"providers":[{"billed_charge":548.0,"npi":[]}]},{"allowed_amount":43.2,"providers":[{"billed_charge":349.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86148","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.75,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]},{"allowed_amount":16.58,"providers":[{"billed_charge":80.35,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":154.64,"npi":[]},{"billed_charge":197.4,"npi":[1073599478]},{"billed_charge":95.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":129.43,"providers":[{"billed_charge":627.55,"npi":[1245494517]}]},{"allowed_amount":130.76,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":145.2,"npi":[1063497451]}]},{"allowed_amount":20.62,"providers":[{"billed_charge":227.22,"npi":[1538144910]}]},{"allowed_amount":20.92,"providers":[{"billed_charge":234.02,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":123.12,"npi":[1073599478]}]},{"allowed_amount":20.92,"providers":[{"billed_charge":247.05,"npi":[1073599478]},{"billed_charge":247.76,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":53.55,"npi":[]},{"billed_charge":97.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[]},{"billed_charge":75.6,"npi":[1073599478]},{"billed_charge":24.28,"npi":[]},{"billed_charge":47.0,"npi":[1073599478]},{"billed_charge":58.35,"npi":[1073599478]}]},{"allowed_amount":8.07,"providers":[{"billed_charge":23.46,"npi":[1073599478]}]},{"allowed_amount":7.32,"providers":[{"billed_charge":45.88,"npi":[]},{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.09,"providers":[{"billed_charge":15.19,"npi":[1073599478]}]},{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[]},{"billed_charge":15.72,"npi":[]}]},{"allowed_amount":7.33,"providers":[{"billed_charge":29.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":88.2,"npi":[]}]},{"allowed_amount":7.96,"providers":[{"billed_charge":38.0,"npi":[]}]},{"allowed_amount":8.65,"providers":[{"billed_charge":88.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.2,"providers":[{"billed_charge":263.2,"npi":[1245198084]}]},{"allowed_amount":180.25,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.79,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":35.72,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.34,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764159","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staph Aureus, Methicillin Resistant, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.43,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]},{"allowed_amount":35.1,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.3,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":35.59,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":264.08,"npi":[]},{"billed_charge":233.17,"npi":[]}]},{"allowed_amount":64.61,"providers":[{"billed_charge":220.51,"npi":[]},{"billed_charge":233.17,"npi":[]},{"billed_charge":708.75,"npi":[]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":205.65,"providers":[{"billed_charge":315.9,"npi":[1245198084]}]},{"allowed_amount":208.44,"providers":[{"billed_charge":315.9,"npi":[1619618469]}]},{"allowed_amount":210.57,"providers":[{"billed_charge":315.9,"npi":[1619618469]}]},{"allowed_amount":231.66,"providers":[{"billed_charge":315.9,"npi":[1245198084]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":212.16,"providers":[{"billed_charge":300.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.73,"providers":[{"billed_charge":440.4,"npi":[1245494517]}]},{"allowed_amount":75.5,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.98,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]},{"allowed_amount":58.38,"providers":[{"billed_charge":282.9,"npi":[1245494517]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]},{"allowed_amount":26.72,"providers":[{"billed_charge":107.0,"npi":[]}]},{"allowed_amount":29.6,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"MRI IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7055126","description":"MRI, brain (including brain stem); without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":376.78,"providers":[{"billed_charge":443.27,"npi":[1326297946,1669462958]}]}]}]},{"name":"Mammography age 50 and over","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":55.38,"providers":[{"billed_charge":88.38,"npi":[1386067478,1932661154]}]},{"allowed_amount":54.29,"providers":[{"billed_charge":81.61,"npi":[1245264399,1386067478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":25.0,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.87,"providers":[{"billed_charge":40.95,"npi":[]}]},{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":20.86,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.25,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":148.05,"npi":[]}]},{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"263737594"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":145.64,"providers":[{"billed_charge":250.0,"npi":[1487664603]}]}]},{"tin":{"type":"ein","value":"882977235"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":175.67,"providers":[{"billed_charge":352.0,"npi":[1912402348]}]},{"allowed_amount":172.23,"providers":[{"billed_charge":352.0,"npi":[1912402348]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"331849153"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.56,"providers":[{"billed_charge":160.0,"npi":[1154723120,1780150979]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1962876508]}]}]},{"tin":{"type":"ein","value":"861747274"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":294.38,"npi":[1568078285]}]},{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1619423415]}]}]},{"tin":{"type":"ein","value":"874516482"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.67,"providers":[{"billed_charge":175.0,"npi":[1184974669,1598320475]}]}]},{"tin":{"type":"ein","value":"931759651"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":102.94,"providers":[{"billed_charge":200.0,"npi":[1619286309]}]}]},{"tin":{"type":"ein","value":"474045481"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":127.0,"providers":[{"billed_charge":200.0,"npi":[1225399025]}]},{"allowed_amount":128.0,"providers":[{"billed_charge":200.0,"npi":[1225399025]}]}]},{"tin":{"type":"ein","value":"901033317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":123.19,"providers":[{"billed_charge":165.0,"npi":[1649977653]}]}]},{"tin":{"type":"ein","value":"993659139"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":175.0,"npi":[1477801140]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and straightforward decision making. Ttl time on the date of the encounter = 10 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":47.16,"providers":[{"billed_charge":107.15,"npi":[1114910296]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1215450986,1346610466,1447514120,1609526607,1801163464]}]},{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1386987865,1942444609]}]},{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1144263419,1699200733]}]}]},{"tin":{"type":"ein","value":"832660588"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":123.8,"providers":[{"billed_charge":250.0,"npi":[1285085407]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]},{"billed_charge":302.08,"npi":[1891731626]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":202.65,"npi":[]},{"billed_charge":131.65,"npi":[1073599478]},{"billed_charge":254.4,"npi":[]},{"billed_charge":213.18,"npi":[1073599478]},{"billed_charge":250.0,"npi":[1073599478]},{"billed_charge":275.94,"npi":[1073599478]}]},{"allowed_amount":24.84,"providers":[{"billed_charge":229.26,"npi":[]},{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1285014282,1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]},{"billed_charge":48.3,"npi":[]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.04,"providers":[{"billed_charge":36.75,"npi":[]}]},{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[]},{"billed_charge":59.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":83.55,"npi":[1073599478]},{"billed_charge":195.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[]},{"billed_charge":16.93,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":22.82,"npi":[1073599478]},{"billed_charge":53.13,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":184.22,"npi":[]},{"billed_charge":31.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":175.64,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":85.74,"npi":[]}]},{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[]},{"billed_charge":94.2,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":106.05,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":46.0,"npi":[1073599478]},{"billed_charge":78.75,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86708","description":"Hepatitis A antibody (HAAb)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.23,"providers":[{"billed_charge":114.37,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.95,"providers":[{"billed_charge":131.76,"npi":[]},{"billed_charge":135.45,"npi":[]},{"billed_charge":118.65,"npi":[]}]},{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]},{"billed_charge":44.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":105.74,"npi":[1073599478]},{"billed_charge":138.37,"npi":[]},{"billed_charge":154.9,"npi":[1073599478]},{"billed_charge":130.21,"npi":[]},{"billed_charge":129.15,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.5,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":462.93,"providers":[{"billed_charge":684.32,"npi":[1619618469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":116.14,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1154818326]}]}]},{"tin":{"type":"ein","value":"870286381"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.17,"providers":[{"billed_charge":9.1,"npi":[1144382334]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]},{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.03,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":218.11,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.31,"providers":[{"billed_charge":30.31,"npi":[1073599478]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":138.37,"npi":[]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Speech therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92507GN","description":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual","allowed_amounts":[{"tin":{"type":"ein","value":"263306682"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":82.06,"providers":[{"billed_charge":120.0,"npi":[1801937172]}]},{"allowed_amount":66.3,"providers":[{"billed_charge":120.0,"npi":[1801937172]}]},{"allowed_amount":67.66,"providers":[{"billed_charge":120.0,"npi":[1801937172]}]},{"allowed_amount":83.95,"providers":[{"billed_charge":120.0,"npi":[1801937172,1851030456]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"883286578"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.15,"providers":[{"billed_charge":2500.0,"npi":[1366150773]}]},{"allowed_amount":87.75,"providers":[{"billed_charge":2500.0,"npi":[1366150773]}]}]},{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":2988.1,"npi":[1063011898]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1639315070]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":965.93,"providers":[{"billed_charge":990.08,"npi":[1659831733]}]}]}]},{"name":"Transplant lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":144.15,"providers":[{"billed_charge":270.72,"npi":[1750577417]}]},{"allowed_amount":157.02,"providers":[{"billed_charge":270.72,"npi":[1346604071]}]}]}]},{"name":"Xray office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.26,"providers":[{"billed_charge":28.36,"npi":[1427284736,1578056032]}]},{"allowed_amount":27.67,"providers":[{"billed_charge":28.36,"npi":[1124173653,1427284736,1629605704,1740784560]}]},{"allowed_amount":29.64,"providers":[{"billed_charge":29.64,"npi":[1780563171]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":353.45,"npi":[1487646360]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Flu shot all ages","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":52.46,"providers":[{"billed_charge":62.0,"npi":[1215688346]}]},{"allowed_amount":36.85,"providers":[{"billed_charge":62.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.98,"providers":[{"billed_charge":318.86,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":42.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":55.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":80.29,"npi":[]},{"billed_charge":206.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[]},{"billed_charge":25.63,"npi":[]}]},{"allowed_amount":9.92,"providers":[{"billed_charge":94.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.37,"npi":[]},{"billed_charge":163.05,"npi":[]}]},{"allowed_amount":18.48,"providers":[{"billed_charge":163.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86036","description":"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.56,"providers":[{"billed_charge":64.47,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.52,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86148","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.75,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.58,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"004721754"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":105.14,"providers":[{"billed_charge":150.0,"npi":[1336316660]}]},{"allowed_amount":140.3,"providers":[{"billed_charge":150.0,"npi":[1336316660]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9920325","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":171.42,"providers":[{"billed_charge":274.0,"npi":[1972745404]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"471026878"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":190.0,"npi":[1922986744]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.76,"providers":[{"billed_charge":23.76,"npi":[1780563171]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral Feed Supp Pump Per D","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13.66,"providers":[{"billed_charge":35.8,"npi":[1134151699]}]},{"allowed_amount":157.09,"providers":[{"billed_charge":545.1,"npi":[1134151699]}]},{"allowed_amount":143.43,"providers":[{"billed_charge":375.9,"npi":[1134151699]}]},{"allowed_amount":184.41,"providers":[{"billed_charge":483.3,"npi":[1134151699]}]},{"allowed_amount":204.9,"providers":[{"billed_charge":537.0,"npi":[1134151699]},{"billed_charge":711.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4160","description":"EF ped caloric dense>/=0.7kc","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.64,"providers":[{"billed_charge":576.0,"npi":[1134151699]}]},{"allowed_amount":56.88,"providers":[{"billed_charge":192.0,"npi":[1134151699]}]},{"allowed_amount":227.52,"providers":[{"billed_charge":636.0,"npi":[1134151699]},{"billed_charge":768.0,"npi":[1134151699]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0621","description":"SO, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":33.46,"providers":[{"billed_charge":75.0,"npi":[1891728697]}]}]}]},{"name":"Home health drugs/supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1561","description":"Injection, immune globulin, (Gamunex), intravenous, nonlyophilized, 500 mg","allowed_amounts":[{"tin":{"type":"ein","value":"876000525"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1106.02,"providers":[{"billed_charge":1301.2,"npi":[1306883954]}]},{"allowed_amount":4424.08,"providers":[{"billed_charge":5204.8,"npi":[1306883954]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82397","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":107.0,"npi":[1245494517]}]},{"allowed_amount":14.09,"providers":[{"billed_charge":107.0,"npi":[1245494517]}]},{"allowed_amount":13.95,"providers":[{"billed_charge":100.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8352059","description":"Immunoassay, Analyte, Quantitative; Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.0,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]},{"allowed_amount":37.99,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]},{"allowed_amount":19.0,"providers":[{"billed_charge":92.39,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]},{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[]},{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":118.81,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.99,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]},{"allowed_amount":51.7,"providers":[{"billed_charge":254.5,"npi":[1245494517]}]},{"allowed_amount":52.24,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":128.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":115.44,"npi":[]}]}]},{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.34,"providers":[{"billed_charge":72.75,"npi":[1245494517]}]},{"allowed_amount":14.49,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]},{"allowed_amount":16.01,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":127.33,"providers":[{"billed_charge":192.44,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.5,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]},{"allowed_amount":74.73,"providers":[{"billed_charge":440.4,"npi":[1245494517]}]},{"allowed_amount":103.02,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.5,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]},{"allowed_amount":58.38,"providers":[{"billed_charge":282.9,"npi":[1245494517]}]},{"allowed_amount":58.98,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.22,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]},{"allowed_amount":38.61,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]},{"allowed_amount":47.81,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"MRI IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7055126","description":"MRI, brain (including brain stem); without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":376.78,"providers":[{"billed_charge":443.27,"npi":[1578576773,1669462958]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"921415965"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":515.0,"npi":[1710769674]}]},{"allowed_amount":123.19,"providers":[{"billed_charge":515.0,"npi":[1174412803]}]}]},{"tin":{"type":"ein","value":"832176473"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.76,"providers":[{"billed_charge":137.76,"npi":[1083031397]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453825517"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":169.82,"providers":[{"billed_charge":240.0,"npi":[1104700046]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":169.82,"providers":[{"billed_charge":240.0,"npi":[1083379119]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.42,"providers":[{"billed_charge":274.0,"npi":[1578642047]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":515.59,"providers":[{"billed_charge":528.48,"npi":[1114272937]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":76.22,"providers":[{"billed_charge":86.62,"npi":[1285166512]}]},{"allowed_amount":146.3,"providers":[{"billed_charge":166.26,"npi":[1285166512]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":115.62,"providers":[{"billed_charge":136.02,"npi":[1114272937]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":73.15,"providers":[{"billed_charge":86.62,"npi":[1972682540]}]},{"allowed_amount":146.3,"providers":[{"billed_charge":173.24,"npi":[1205126257]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":84.0,"npi":[1871831313]}]},{"allowed_amount":17.64,"providers":[{"billed_charge":84.0,"npi":[1831738756,1871831313]}]},{"allowed_amount":29.98,"providers":[{"billed_charge":168.0,"npi":[1871831313]}]},{"allowed_amount":35.28,"providers":[{"billed_charge":168.0,"npi":[1871831313]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.55,"providers":[{"billed_charge":79.0,"npi":[1871831313]}]},{"allowed_amount":18.29,"providers":[{"billed_charge":79.0,"npi":[1831738756,1871831313]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":210.56,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.3,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":245.1,"providers":[{"billed_charge":258.0,"npi":[1437137213]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":111.15,"providers":[{"billed_charge":117.0,"npi":[1538156799]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":17.95,"providers":[{"billed_charge":26.4,"npi":[1043592454]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":239.46,"providers":[{"billed_charge":239.46,"npi":[]}]},{"allowed_amount":159.99,"providers":[{"billed_charge":159.99,"npi":[]}]},{"allowed_amount":249.99,"providers":[{"billed_charge":249.99,"npi":[]}]},{"allowed_amount":206.99,"providers":[{"billed_charge":206.99,"npi":[]}]}]},{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":225.99,"providers":[{"billed_charge":225.99,"npi":[]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]},{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92134","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina","allowed_amounts":[{"tin":{"type":"ein","value":"870525682"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":55.4,"providers":[{"billed_charge":95.0,"npi":[1629364054]}]},{"allowed_amount":50.37,"providers":[{"billed_charge":95.0,"npi":[1962487611]}]},{"allowed_amount":58.5,"providers":[{"billed_charge":95.0,"npi":[1629364054]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":10.2,"providers":[{"billed_charge":35.0,"npi":[1619940863]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.84,"providers":[{"billed_charge":28.14,"npi":[1720191216]}]},{"allowed_amount":23.92,"providers":[{"billed_charge":28.14,"npi":[1649383027]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.0,"providers":[{"billed_charge":25.69,"npi":[1821005349]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":167.28,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":167.28,"npi":[]},{"billed_charge":147.75,"npi":[]},{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":25.0,"npi":[]},{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":51.45,"npi":[]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":169.16,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":249.26,"npi":[]},{"billed_charge":298.83,"npi":[1073599478]}]},{"allowed_amount":24.84,"providers":[{"billed_charge":203.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":64.67,"npi":[1073599478]},{"billed_charge":98.0,"npi":[]},{"billed_charge":65.26,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]},{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":37.07,"npi":[]}]},{"allowed_amount":5.55,"providers":[{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83013","description":"H. Pylori; Analysis For Urease Activity, Non-Radioactive Isotope","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":61.08,"providers":[{"billed_charge":340.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.04,"npi":[]}]},{"allowed_amount":11.67,"providers":[{"billed_charge":79.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.8,"providers":[{"billed_charge":252.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]},{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.34,"providers":[{"billed_charge":159.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.08,"npi":[]}]},{"allowed_amount":4.41,"providers":[{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]},{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.22,"providers":[{"billed_charge":48.48,"npi":[]},{"billed_charge":49.35,"npi":[]},{"billed_charge":70.35,"npi":[]},{"billed_charge":74.55,"npi":[]}]},{"allowed_amount":6.31,"providers":[{"billed_charge":50.81,"npi":[]},{"billed_charge":52.49,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":94.2,"npi":[]}]},{"allowed_amount":8.32,"providers":[{"billed_charge":109.1,"npi":[1073599478]},{"billed_charge":148.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.58,"providers":[{"billed_charge":3.66,"npi":[]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]},{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":95.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":46.2,"npi":[1073599478]},{"billed_charge":54.92,"npi":[1073599478]}]},{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[]},{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":161.12,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.58,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":133.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":35.43,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.45,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.98,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":389.6,"npi":[]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":231.66,"providers":[{"billed_charge":315.9,"npi":[1245198084]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":226.1,"npi":[]},{"billed_charge":190.92,"npi":[1073599478]},{"billed_charge":306.6,"npi":[]}]},{"allowed_amount":26.72,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":54.29,"providers":[{"billed_charge":81.61,"npi":[1952644239]}]},{"allowed_amount":55.38,"providers":[{"billed_charge":88.38,"npi":[1376540955,1386067478,1932661154]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1932184322]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":69.3,"npi":[1932184322]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":112.35,"npi":[1932184322]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":19.5,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":35.0,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":110.03,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":82.81,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":107.32,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":49.35,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"331849153"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":250.0,"npi":[1780150979]},{"billed_charge":275.0,"npi":[1780150979]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"331849153"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.56,"providers":[{"billed_charge":145.0,"npi":[1780150979]},{"billed_charge":160.0,"npi":[1780150979]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":589.5,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3900.0,"npi":[1558672279]},{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":139.65,"npi":[1932184322]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":48.5,"npi":[1073599478]}]}]}]},{"name":"OB lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"262072378"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.09,"providers":[{"billed_charge":10.0,"npi":[1225043995]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"362193608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.91,"providers":[{"billed_charge":213.02,"npi":[1699826693]}]}]},{"tin":{"type":"ein","value":"820516012"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":185.0,"npi":[1275603193]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.49,"providers":[{"billed_charge":222.0,"npi":[1376553834,1689451478]}]},{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1003922394,1306032719,1659525665,1699161554]}]},{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1598081325,1700452901,1760498687,1841348240,1851617815]}]},{"allowed_amount":134.93,"providers":[{"billed_charge":179.18,"npi":[1528670585]}]}]},{"tin":{"type":"ein","value":"453825517"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":185.0,"npi":[1104700046]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":136.72,"providers":[{"billed_charge":290.0,"npi":[1619471901,1831759596]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":99.49,"providers":[{"billed_charge":222.0,"npi":[1790795102]}]},{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1760498687]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":333.71,"providers":[{"billed_charge":333.71,"npi":[1073838058]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":254.63,"providers":[{"billed_charge":391.0,"npi":[1962164293]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1295267896,1578874715,1730525551,1861767048]}]},{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1003278102,1386038552,1730525551]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1902163553]}]},{"allowed_amount":333.71,"providers":[{"billed_charge":333.71,"npi":[1649739459]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":292.78,"providers":[{"billed_charge":425.7,"npi":[1417059064]}]}]},{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":227.7,"providers":[{"billed_charge":290.0,"npi":[1780754671,1790715126]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.64,"providers":[{"billed_charge":313.0,"npi":[1326077934]}]},{"allowed_amount":170.28,"providers":[{"billed_charge":315.0,"npi":[1104182476,1538622188]}]},{"allowed_amount":173.69,"providers":[{"billed_charge":313.0,"npi":[1124253166,1396942785,1689137143]}]},{"allowed_amount":198.46,"providers":[{"billed_charge":264.21,"npi":[1528670585]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1366060394]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1972936326]}]},{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1386790988,1578096897]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1174955512]}]},{"allowed_amount":47.43,"providers":[{"billed_charge":56.16,"npi":[1841707569]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1881784486]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":103.95,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":66.11,"npi":[]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":107.32,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":266.22,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]},{"billed_charge":153.99,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.04,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]},{"allowed_amount":238.89,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]},{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]},{"allowed_amount":194.78,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1205926813]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":6.0,"npi":[1285975334,1295713444]}]}]}]},{"name":"Urgent care service or supply non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99070","description":"Supplies Provided By Physician Over & Above Those Included In The Service","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":81.04,"providers":[{"billed_charge":81.04,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.85,"providers":[{"billed_charge":240.0,"npi":[1710315577]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":220.3,"providers":[{"billed_charge":335.0,"npi":[1114412244]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":148.62,"providers":[{"billed_charge":273.0,"npi":[1124330865,1972932986]}]},{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1285975334]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":241.81,"providers":[{"billed_charge":381.0,"npi":[1083056303]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9920325","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":171.42,"providers":[{"billed_charge":274.0,"npi":[1164802062]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1699409748]}]},{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1831569326]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":99.49,"providers":[{"billed_charge":222.0,"npi":[1588299838]}]}]},{"tin":{"type":"ein","value":"820516012"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":185.0,"npi":[1184307621]}]}]},{"tin":{"type":"ein","value":"471026878"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":190.0,"npi":[1114600129,1922986744]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":179.47,"providers":[{"billed_charge":315.0,"npi":[1700676368,1982423216]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"834204802"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":210.33,"providers":[{"billed_charge":631.0,"npi":[1366111379]}]},{"allowed_amount":202.24,"providers":[{"billed_charge":488.0,"npi":[1366111379]},{"billed_charge":692.0,"npi":[1851521249]}]}]},{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]},{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.3,"providers":[{"billed_charge":390.0,"npi":[1922821362]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":162.27,"providers":[{"billed_charge":297.28,"npi":[1518910108]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":39.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":53.13,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":61.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":41.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":94.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820482621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1518986264]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"820482621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.0,"providers":[{"billed_charge":15.0,"npi":[1518986264]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":349.99,"providers":[{"billed_charge":349.99,"npi":[]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]},{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":22.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.7,"providers":[{"billed_charge":254.5,"npi":[1245494517]}]},{"allowed_amount":52.24,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]},{"allowed_amount":55.99,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.52,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]},{"allowed_amount":26.25,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":256.58,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":35.43,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]},{"billed_charge":285.26,"npi":[1689639544]}]},{"allowed_amount":142.68,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764059","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":36.3,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":35.96,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.02,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]},{"allowed_amount":74.73,"providers":[{"billed_charge":440.4,"npi":[1245494517]}]},{"allowed_amount":75.5,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]}]}]},{"name":"OB lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"262072378"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.17,"providers":[{"billed_charge":10.0,"npi":[1710940952]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1710500053]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1841707569]},{"billed_charge":56.16,"npi":[1639630528]}]}]}]},{"name":"Surgeon OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17110","description":"Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions","allowed_amounts":[{"tin":{"type":"ein","value":"743097822"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":41.84,"providers":[{"billed_charge":300.0,"npi":[1336347103]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":332.99,"providers":[{"billed_charge":332.99,"npi":[]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908LT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908RT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.71,"providers":[{"billed_charge":32.0,"npi":[1811275944]}]},{"allowed_amount":30.55,"providers":[{"billed_charge":34.0,"npi":[1487917548]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":114.63,"providers":[{"billed_charge":1813.84,"npi":[1770087207]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":320.95,"providers":[{"billed_charge":1286.0,"npi":[1043943442]}]}]},{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":739.8,"providers":[{"billed_charge":822.0,"npi":[1689887929]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":17.0,"npi":[1902141500]}]},{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":33.95,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":57.32,"npi":[1073599478]},{"billed_charge":106.7,"npi":[1073599478]},{"billed_charge":106.39,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]},{"allowed_amount":14.73,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.81,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.0,"providers":[{"billed_charge":74.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":72.03,"npi":[1073599478]},{"billed_charge":74.24,"npi":[1073599478]}]},{"allowed_amount":5.22,"providers":[{"billed_charge":72.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":71.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":197.02,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":99.75,"npi":[]}]},{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]},{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":61.68,"npi":[1073599478]},{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":31.53,"npi":[1073599478]},{"billed_charge":43.05,"npi":[1073599478]},{"billed_charge":14.98,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"Blood Count; Hemoglobin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.18,"providers":[{"billed_charge":20.47,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.15,"providers":[{"billed_charge":37.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86334","description":"Immunofixation Electrophoresis","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.55,"providers":[{"billed_charge":171.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":11.81,"npi":[1073599478]},{"billed_charge":25.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":35.0,"npi":[]},{"billed_charge":41.5,"npi":[1073599478]},{"billed_charge":45.88,"npi":[]},{"billed_charge":30.4,"npi":[1073599478]},{"billed_charge":75.6,"npi":[1073599478]},{"billed_charge":14.08,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.03,"providers":[{"billed_charge":64.91,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":9.11,"npi":[1073599478]},{"billed_charge":19.69,"npi":[1073599478]},{"billed_charge":29.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]},{"billed_charge":34.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764159","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staph Aureus, Methicillin Resistant, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":30.9,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1174173074]}]}]},{"tin":{"type":"ein","value":"861747274"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":294.38,"npi":[1043944861]}]}]},{"tin":{"type":"ein","value":"861747274"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":294.38,"npi":[1194894485]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1174173074,1962876508]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3900.0,"npi":[1558672279]},{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":589.5,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]}]},{"name":"OB lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1124055702]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"870437878"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":70.91,"providers":[{"billed_charge":100.0,"npi":[1295817708]}]}]},{"tin":{"type":"ein","value":"911019392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":164.0,"npi":[1588015176]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.47,"providers":[{"billed_charge":279.0,"npi":[1568825321,1740003847]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":193.09,"providers":[{"billed_charge":311.0,"npi":[1457547432]}]},{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1457547432]}]}]},{"tin":{"type":"ein","value":"911866685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":104.41,"providers":[{"billed_charge":341.67,"npi":[1467433706]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.66,"providers":[{"billed_charge":153.0,"npi":[1679387864]}]},{"allowed_amount":99.28,"providers":[{"billed_charge":153.0,"npi":[1679387864]}]}]},{"tin":{"type":"ein","value":"870437878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.91,"providers":[{"billed_charge":100.0,"npi":[1295817708,1568800209,1760941090]}]},{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1568800209]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.84,"providers":[{"billed_charge":614.0,"npi":[1447552773]}]},{"allowed_amount":478.32,"providers":[{"billed_charge":579.0,"npi":[1710413539]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":317.87,"providers":[{"billed_charge":471.9,"npi":[1548271521]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1689784654]}]}]}]},{"name":"Physical therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"113825207"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.79,"providers":[{"billed_charge":50.0,"npi":[1700264165]}]},{"allowed_amount":49.58,"providers":[{"billed_charge":100.0,"npi":[1700264165]}]},{"allowed_amount":57.22,"providers":[{"billed_charge":100.0,"npi":[1700264165]}]},{"allowed_amount":82.01,"providers":[{"billed_charge":150.0,"npi":[1700264165]}]},{"allowed_amount":32.43,"providers":[{"billed_charge":50.0,"npi":[1700264165]}]}]}]},{"name":"Physical therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"113825207"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.31,"providers":[{"billed_charge":50.0,"npi":[1700264165]}]},{"allowed_amount":65.67,"providers":[{"billed_charge":100.0,"npi":[1700264165]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":8.83,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.52,"providers":[{"billed_charge":18.0,"npi":[1053810309]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":47.46,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":182.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.98,"providers":[{"billed_charge":35.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":69.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":184.59,"npi":[1073599478]}]},{"allowed_amount":22.1,"providers":[{"billed_charge":184.59,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":187.11,"npi":[1073599478]}]},{"allowed_amount":25.81,"providers":[{"billed_charge":187.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":143.55,"npi":[1063497451]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":66.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.15,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":211.64,"npi":[1073599478]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":105.74,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"272931022"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.21,"providers":[{"billed_charge":290.0,"npi":[1093993263]}]}]},{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":121.48,"providers":[{"billed_charge":219.2,"npi":[1174620496]}]},{"allowed_amount":123.63,"providers":[{"billed_charge":219.2,"npi":[1174620496]}]}]},{"tin":{"type":"ein","value":"922959598"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":152.24,"providers":[{"billed_charge":300.0,"npi":[1316216369]}]},{"allowed_amount":185.25,"providers":[{"billed_charge":300.0,"npi":[1316216369]}]}]},{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1083973002]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":24.58,"providers":[{"billed_charge":41.0,"npi":[1053677245]}]},{"allowed_amount":25.07,"providers":[{"billed_charge":41.0,"npi":[1962874446]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"834204802"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":202.24,"providers":[{"billed_charge":377.0,"npi":[1083108872]}]},{"allowed_amount":210.33,"providers":[{"billed_charge":447.0,"npi":[1548288020]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7363026","description":"Radiologic Exam, Foot; Complete, 3+ Views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":15.23,"providers":[{"billed_charge":20.0,"npi":[1104069871]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":229.49,"providers":[{"billed_charge":229.49,"npi":[]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908RT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.55,"providers":[{"billed_charge":34.0,"npi":[1568026961]}]},{"allowed_amount":15.28,"providers":[{"billed_charge":17.0,"npi":[1568026961]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":43.55,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":112.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]},{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]},{"billed_charge":105.27,"npi":[1689639544]}]},{"allowed_amount":250.89,"providers":[{"billed_charge":385.99,"npi":[1689639544]}]},{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":458.25,"providers":[{"billed_charge":684.32,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":208.44,"providers":[{"billed_charge":315.9,"npi":[1619618469]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"200995315"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.77,"providers":[{"billed_charge":54.0,"npi":[1679982425]}]},{"allowed_amount":51.54,"providers":[{"billed_charge":108.0,"npi":[1679982425]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"251786209"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":39.24,"providers":[{"billed_charge":52.0,"npi":[1851282115]}]},{"allowed_amount":51.8,"providers":[{"billed_charge":52.0,"npi":[1487267225,1851282115]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":254.4,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":44.0,"npi":[1073599478]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":187.76,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1326229311]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9920325","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":171.42,"providers":[{"billed_charge":274.0,"npi":[1518194687]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":198.17,"providers":[{"billed_charge":315.0,"npi":[1417359894]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":350.0,"npi":[1114798071]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1932184322]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.74,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1326104613]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":56.59,"npi":[]}]},{"allowed_amount":14.73,"providers":[{"billed_charge":102.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.45,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.37,"providers":[{"billed_charge":131.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.48,"providers":[{"billed_charge":148.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1326104613]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":182.7,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":184.59,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":187.11,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":74.55,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":87.15,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.95,"providers":[{"billed_charge":112.35,"npi":[1538144910,1932184322]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":112.35,"npi":[1538144910,1932184322]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731QZ","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1295722403]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1518402783]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":87.57,"npi":[]},{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":355.95,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":97.63,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":54.0,"npi":[]},{"billed_charge":68.43,"npi":[]},{"billed_charge":137.26,"npi":[]},{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]},{"billed_charge":38.22,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82653","description":"Elastase, pancreatic (EL-1), fecal; quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.9,"providers":[{"billed_charge":308.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":264.83,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":109.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1790398238]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":176.92,"npi":[1790398238]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834GT","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"815210125"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":140.0,"providers":[{"billed_charge":140.0,"npi":[1740593383]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836GT","description":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":171.52,"providers":[{"billed_charge":257.18,"npi":[1962854034]}]}]}]},{"name":"Occupational therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GO","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","allowed_amounts":[{"tin":{"type":"ein","value":"201008626"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":87.0,"npi":[1750915815]}]},{"allowed_amount":81.6,"providers":[{"billed_charge":174.0,"npi":[1750915815]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1962854034]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":242.61,"providers":[{"billed_charge":560.7,"npi":[1073599478]}]},{"allowed_amount":161.74,"providers":[{"billed_charge":246.0,"npi":[1073599478]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"330361048"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":41.54,"providers":[{"billed_charge":85.0,"npi":[1891787594]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":43.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":60.12,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":54.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":109.93,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"455215138"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.73,"providers":[{"billed_charge":72.72,"npi":[1831290204]}]},{"allowed_amount":19.81,"providers":[{"billed_charge":72.72,"npi":[1831290204]}]},{"allowed_amount":25.89,"providers":[{"billed_charge":72.72,"npi":[1831290204]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":461.25,"npi":[1609858729]}]},{"allowed_amount":162.36,"providers":[{"billed_charge":893.94,"npi":[1609858729]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":23.4,"providers":[{"billed_charge":26.0,"npi":[1770554859]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":23.55,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":500.0,"npi":[1396288338]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9373","description":"Home infusion therapy, hydration therapy (do not use with hydration therapy codes S9374-S9377 using daily volume scales)","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":20.0,"providers":[{"billed_charge":100.0,"npi":[1396288338]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":131.65,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.9,"providers":[{"billed_charge":94.36,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.32,"providers":[{"billed_charge":143.42,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":48.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":32.23,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[1073599478]},{"billed_charge":92.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.05,"providers":[{"billed_charge":79.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":98.7,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"473942822"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":93.0,"providers":[{"billed_charge":175.0,"npi":[1669879102]}]},{"allowed_amount":152.82,"providers":[{"billed_charge":175.0,"npi":[1669879102]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":1500.0,"npi":[1558672279]},{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":40.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]},{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":201.15,"npi":[1346498755]},{"billed_charge":203.34,"npi":[1346498755]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1609975226]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.0,"providers":[{"billed_charge":99.0,"npi":[1942298161]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"870301301"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":415.53,"providers":[{"billed_charge":1272.0,"npi":[1952276651]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1326104613]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":175.77,"providers":[{"billed_charge":328.0,"npi":[1386162998]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"810520405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.92,"providers":[{"billed_charge":48.0,"npi":[1700938040]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":225.99,"providers":[{"billed_charge":225.99,"npi":[]}]}]},{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":216.99,"providers":[{"billed_charge":216.99,"npi":[]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230KX","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":291.9,"providers":[{"billed_charge":510.0,"npi":[1255330825]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":355.95,"npi":[]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]},{"billed_charge":92.4,"npi":[]}]},{"allowed_amount":13.3,"providers":[{"billed_charge":107.32,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":62.74,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":120.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":126.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":22.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]},{"billed_charge":48.5,"npi":[1073599478]},{"billed_charge":139.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1609812445]},{"billed_charge":52.05,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":93.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.05,"providers":[{"billed_charge":79.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.78,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]},{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.21,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]},{"allowed_amount":70.22,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":41.0,"npi":[1043744931]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":613.7,"providers":[{"billed_charge":646.0,"npi":[1205032562]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":438.25,"providers":[{"billed_charge":528.48,"npi":[1588558019]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1376527556]}]},{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1376527556]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":298.42,"providers":[{"billed_charge":446.0,"npi":[1538240890]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1194143891]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]},{"billed_charge":317.18,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":85.05,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":282.3,"npi":[1073599478]},{"billed_charge":131.65,"npi":[1073599478]},{"billed_charge":190.05,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":175.64,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":106.6,"npi":[]},{"billed_charge":109.1,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[1073599478]},{"billed_charge":137.21,"npi":[1073599478]},{"billed_charge":160.51,"npi":[1073599478]},{"billed_charge":122.85,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]},{"allowed_amount":140.84,"providers":[{"billed_charge":244.0,"npi":[1659574127]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1609975226]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":201.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1841470804]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":47.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":257.8,"providers":[{"billed_charge":360.0,"npi":[1891264545]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":53.01,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":160.2,"providers":[{"billed_charge":228.86,"npi":[1104466994]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"870301301"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":415.53,"providers":[{"billed_charge":1272.0,"npi":[1326455478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.8,"providers":[{"billed_charge":252.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":45.88,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":110.03,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.37,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.7,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":97.15,"providers":[{"billed_charge":232.1,"npi":[1417267295]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":130.0,"npi":[1013952761]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":239.95,"providers":[{"billed_charge":350.0,"npi":[1497167720]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1346213238]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":63.52,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":83.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":149.28,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]},{"allowed_amount":16.8,"providers":[{"billed_charge":188.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":100.58,"providers":[{"billed_charge":402.3,"npi":[1831551092]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":162.18,"providers":[{"billed_charge":221.0,"npi":[1134869670]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"392960395"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1801483193]}]}]},{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":103.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":110.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":173.79,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1538144910]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":155.27,"providers":[{"billed_charge":366.0,"npi":[1932087939]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"931103256"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":75.0,"providers":[{"billed_charge":100.0,"npi":[1972640712]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":240.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":206.85,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":171.4,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":106.7,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.17,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":106.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":120.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":91.01,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":109.08,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":143.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":110.96,"npi":[1073599478]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":2461.65,"npi":[1528177151]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":49.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.95,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":109.1,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[1073599478]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036QW","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.91,"providers":[{"billed_charge":23.0,"npi":[1871074054]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":198.46,"providers":[{"billed_charge":264.21,"npi":[1528670585]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":254.63,"providers":[{"billed_charge":391.0,"npi":[1417022799]}]}]},{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":211.6,"providers":[{"billed_charge":275.1,"npi":[1245867555]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1376633966]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":92.79,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]},{"billed_charge":131.76,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":105.74,"npi":[1073599478]},{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"200277709"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":193.0,"providers":[{"billed_charge":534.0,"npi":[1740273614]}]}]},{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.0,"providers":[{"billed_charge":258.9,"npi":[1295827780]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":50.0,"npi":[1437768306]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":230.49,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":535.0,"npi":[1609395102]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"260152289"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":95.0,"npi":[1326144189]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":93.8,"providers":[{"billed_charge":100.0,"npi":[1851882724]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":50.81,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.87,"providers":[{"billed_charge":220.0,"npi":[1922452515]}]}]}]},{"name":"Anesthesia/Sedation ASC Medical colonoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":640.0,"npi":[1720697501]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652RR","description":"Pneum Compres W/Cal Pressure","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":371.0,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4557NU","description":"Lead Wires, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11.7,"providers":[{"billed_charge":39.0,"npi":[1770511552]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":107.35,"providers":[{"billed_charge":113.0,"npi":[1316927254]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":31.18,"npi":[1538144910]},{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1497765291]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1619934817]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":205.47,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.64,"providers":[{"billed_charge":6.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":64.47,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":31.25,"npi":[]},{"billed_charge":61.48,"npi":[]},{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1073590683]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":200.22,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":45.9,"npi":[1538144910]},{"billed_charge":54.35,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":129.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]},{"billed_charge":28.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1497765291]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":21.4,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":30.26,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":88.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1184631244]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"824794684"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":299.51,"npi":[1205656592]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":456.0,"providers":[{"billed_charge":480.0,"npi":[1326508375]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.64,"providers":[{"billed_charge":84.0,"npi":[1477999449]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.53,"providers":[{"billed_charge":53.75,"npi":[1437768306,1609104496]}]}]},{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":168.0,"npi":[1194604140]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":84.0,"npi":[1194604140]}]}]},{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.49,"providers":[{"billed_charge":89.0,"npi":[1477999449]}]},{"allowed_amount":26.04,"providers":[{"billed_charge":89.0,"npi":[1477999449]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":190.64,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1124287198]}]},{"allowed_amount":155.64,"providers":[{"billed_charge":678.0,"npi":[1518926864]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":486.48,"providers":[{"billed_charge":840.0,"npi":[1417390287]}]},{"allowed_amount":243.24,"providers":[{"billed_charge":420.0,"npi":[1790980837]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":265.32,"providers":[{"billed_charge":480.0,"npi":[1922452515]}]},{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":438.4,"providers":[{"billed_charge":438.4,"npi":[1699902726]}]},{"allowed_amount":121.48,"providers":[{"billed_charge":219.2,"npi":[1174620496]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":401.12,"providers":[{"billed_charge":471.9,"npi":[1891995882]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":44.88,"providers":[{"billed_charge":52.8,"npi":[1891995882]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":32.0,"npi":[1063482305]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":23.85,"providers":[{"billed_charge":25.1,"npi":[1285606285]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":500.0,"npi":[1396288338]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":207.68,"providers":[{"billed_charge":259.6,"npi":[1104914761,1437612512,1457603532]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1285014282]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":337.5,"providers":[{"billed_charge":375.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[1285014282]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":90.9,"providers":[{"billed_charge":101.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.59,"providers":[{"billed_charge":205.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":77.7,"npi":[1285014282]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.58,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":94.5,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":56.2,"providers":[{"billed_charge":238.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.71,"providers":[{"billed_charge":45.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":96.0,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":163.27,"npi":[1609812445]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.68,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":237.5,"providers":[{"billed_charge":250.0,"npi":[1275038556]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0667RR","description":"Seg Pneumatic Appl Full Leg","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13.99,"providers":[{"billed_charge":72.0,"npi":[1427131424]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":430.0,"providers":[{"billed_charge":1440.0,"npi":[1639160708]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4352KX","description":"Coude Tip Urinary Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1143.0,"providers":[{"billed_charge":1447.5,"npi":[1639160708]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1124221783]}]}]},{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":23.4,"providers":[{"billed_charge":26.0,"npi":[1336245943]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1619934817]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":110.0,"npi":[1083249577,1619934817]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]},{"billed_charge":53.55,"npi":[]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.15,"providers":[{"billed_charge":37.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":101.65,"providers":[{"billed_charge":107.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":107.32,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":129.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":1500.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":152.26,"providers":[{"billed_charge":364.0,"npi":[1003899493]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1053622811]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1598748725]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1050.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":120.75,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.7,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.63,"providers":[{"billed_charge":257.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":456.46,"providers":[{"billed_charge":570.57,"npi":[1174837850]}]},{"allowed_amount":456.45,"providers":[{"billed_charge":570.57,"npi":[1376192856]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":455.05,"providers":[{"billed_charge":479.0,"npi":[1235513284]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"481274572"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1033196027]}]}]},{"tin":{"type":"ein","value":"562473964"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":55.0,"npi":[1457424749]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2400.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"113358535"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":55.0,"providers":[{"billed_charge":120.0,"npi":[1346208949]}]},{"allowed_amount":96.0,"providers":[{"billed_charge":120.0,"npi":[1275589830]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":110.03,"npi":[]}]},{"allowed_amount":13.79,"providers":[{"billed_charge":23.46,"npi":[1073599478]},{"billed_charge":110.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":107.32,"npi":[]}]},{"allowed_amount":13.5,"providers":[{"billed_charge":22.89,"npi":[1073599478]},{"billed_charge":107.32,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":174.3,"npi":[1073599478]},{"billed_charge":158.55,"npi":[]}]},{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":175.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]},{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":178.35,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]},{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[]},{"billed_charge":193.2,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":264.83,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.7,"npi":[]}]},{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]},{"billed_charge":261.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":81.16,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.05,"providers":[{"billed_charge":79.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":161.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.57,"providers":[{"billed_charge":841.96,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":133.52,"npi":[1073599478]},{"billed_charge":306.6,"npi":[1073599478]},{"billed_charge":243.6,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]},{"billed_charge":3900.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":589.5,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1265092951]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1497832232]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"721572349"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.7,"providers":[{"billed_charge":40.0,"npi":[1437791084,1831549534]}]},{"allowed_amount":28.64,"providers":[{"billed_charge":40.0,"npi":[1437791084]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140","description":"Manual therapy techniques (eg, mobilization/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"721572349"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.48,"providers":[{"billed_charge":110.0,"npi":[1437791084]}]},{"allowed_amount":20.24,"providers":[{"billed_charge":55.0,"npi":[1437791084,1831549534]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"810520405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.92,"providers":[{"billed_charge":40.0,"npi":[1700938040]}]}]},{"tin":{"type":"ein","value":"911889011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":55.7,"providers":[{"billed_charge":130.0,"npi":[1073392759]}]},{"allowed_amount":27.85,"providers":[{"billed_charge":65.0,"npi":[1073392759]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":127.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]},{"billed_charge":97.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":90.3,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86664","description":"Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen (Ebna)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.09,"providers":[{"billed_charge":117.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":50.0,"npi":[1033203393]}]},{"allowed_amount":26.87,"providers":[{"billed_charge":50.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.25,"providers":[{"billed_charge":123.0,"npi":[1659574127]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1780820050]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1891731626]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.87,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":390.6,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":64.73,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.74,"providers":[{"billed_charge":298.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.85,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.34,"providers":[{"billed_charge":72.75,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.41,"providers":[{"billed_charge":79.55,"npi":[1245494517]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":318.6,"providers":[{"billed_charge":354.0,"npi":[1881990901]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":318.6,"providers":[{"billed_charge":354.0,"npi":[1528403888]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1558466177]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]},{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]},{"tin":{"type":"ein","value":"833313678"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1275095101]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":110.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.15,"providers":[{"billed_charge":37.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8352059","description":"Immunoassay, Analyte, Quantitative; Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.82,"providers":[{"billed_charge":86.35,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86148","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.58,"providers":[{"billed_charge":80.35,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.41,"providers":[{"billed_charge":79.55,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.73,"providers":[{"billed_charge":440.4,"npi":[1245494517]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9920325","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":142.14,"providers":[{"billed_charge":200.0,"npi":[1548729734]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1275710865,1740370287]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1972682540]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1275710865,1740370287]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"860748813"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.53,"providers":[{"billed_charge":75.0,"npi":[1962170241]}]},{"allowed_amount":22.55,"providers":[{"billed_charge":75.0,"npi":[1962170241]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":129.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":455.05,"providers":[{"billed_charge":479.0,"npi":[1306846290]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":173.16,"providers":[{"billed_charge":239.58,"npi":[1558466177]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":169.82,"providers":[{"billed_charge":240.0,"npi":[1770847469]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.85,"providers":[{"billed_charge":221.0,"npi":[1588273338]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":23.0,"npi":[1063751642]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1821009788]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"330361048"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":42.37,"providers":[{"billed_charge":85.0,"npi":[1891787594]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]},{"billed_charge":20.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":198.27,"npi":[1073599478]},{"billed_charge":268.5,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":158.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]},{"billed_charge":46.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]},{"billed_charge":197.0,"npi":[1073599478]},{"billed_charge":166.88,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":115.67,"npi":[1073599478]},{"billed_charge":106.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"Blood Count; Hemoglobin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.18,"providers":[{"billed_charge":20.47,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":29.2,"npi":[1073599478]},{"billed_charge":31.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":213.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":314.45,"providers":[{"billed_charge":331.0,"npi":[1003895590,1912322405]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82542","description":"Column chromatography, mass spectrometry, if performed (eg, HPLC, LC, LC/MS LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":159.99,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.06,"providers":[{"billed_charge":155.0,"npi":[1619980745]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.51,"providers":[{"billed_charge":34.0,"npi":[1336245943,1770554859]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.07,"providers":[{"billed_charge":23.76,"npi":[1023317328,1386141984,1780563171,1871989822,1992913974]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1407948169]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85730","description":"Thromboplastin Time, Partial (Ptt); Plasma/Whole Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.52,"providers":[{"billed_charge":65.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.45,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":387.75,"providers":[{"billed_charge":579.04,"npi":[1619618469]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":528.48,"providers":[{"billed_charge":528.48,"npi":[1659537405]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1265207534]}]},{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1730131905]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.84,"providers":[{"billed_charge":614.0,"npi":[1508905522]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1033435490,1669766184]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1225353303]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1659537405,1770018277]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1033435490,1669766184]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"830230892"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":15.0,"npi":[1447364245]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":170.16,"providers":[{"billed_charge":190.31,"npi":[1255990503]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"883453619"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":150.0,"npi":[1699431437]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99244","description":"Office or OP consult for new or est. patient, req. a medically apt history and/or Ex. and moderate level of medical decision making. Total time of the encounter, 40 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":704.9,"providers":[{"billed_charge":742.0,"npi":[1720068562]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230KX","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":97.3,"providers":[{"billed_charge":170.0,"npi":[1255330825]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral Feed Supp Pump Per D","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":95.62,"providers":[{"billed_charge":331.8,"npi":[1134151699]}]},{"allowed_amount":6.83,"providers":[{"billed_charge":48.0,"npi":[1134151699]}]},{"allowed_amount":88.79,"providers":[{"billed_charge":565.5,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":67.79,"providers":[{"billed_charge":444.75,"npi":[1134151699]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232KX","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":26.7,"providers":[{"billed_charge":55.0,"npi":[1255330825]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":32.25,"providers":[{"billed_charge":108.0,"npi":[1639160708]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":114.63,"providers":[{"billed_charge":1813.84,"npi":[1407803612]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9338","description":"Home infusion therapy, immunotherapy therapy","allowed_amounts":[{"tin":{"type":"ein","value":"462787212"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":200.0,"npi":[1609209352]}]}]}]},{"name":"Hospital visit or service OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":394.71,"providers":[{"billed_charge":521.38,"npi":[1922627207]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":51.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]},{"billed_charge":23.46,"npi":[1073599478]},{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":22.89,"npi":[1073599478]},{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]},{"billed_charge":45.9,"npi":[1073599478]},{"billed_charge":53.13,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":117.6,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":157.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":47.0,"npi":[1073599478]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"474045481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":127.0,"providers":[{"billed_charge":200.0,"npi":[1225399025]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":585.8,"providers":[{"billed_charge":585.8,"npi":[1518288323]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":407.51,"providers":[{"billed_charge":417.7,"npi":[1366690844]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.47,"providers":[{"billed_charge":279.0,"npi":[1306143458]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1801163464]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1871876060,1962998948]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"861035283"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":69.49,"providers":[{"billed_charge":294.0,"npi":[1114883964]}]},{"allowed_amount":28.61,"providers":[{"billed_charge":98.0,"npi":[1114883964]}]},{"allowed_amount":49.05,"providers":[{"billed_charge":196.0,"npi":[1114883964]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"830230892"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":15.0,"npi":[1447364245]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]},{"billed_charge":54.2,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":669.75,"providers":[{"billed_charge":705.0,"npi":[1447494430]}]},{"allowed_amount":223.25,"providers":[{"billed_charge":235.0,"npi":[1447494430]}]},{"allowed_amount":446.5,"providers":[{"billed_charge":470.0,"npi":[1447494430]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":155.27,"providers":[{"billed_charge":338.0,"npi":[1467078139]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"860748813"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.53,"providers":[{"billed_charge":75.0,"npi":[1710430020,1962170241]}]},{"allowed_amount":22.55,"providers":[{"billed_charge":75.0,"npi":[1710430020,1962170241]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":173.69,"providers":[{"billed_charge":313.0,"npi":[1093004954]}]}]},{"tin":{"type":"ein","value":"833011825"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.3,"providers":[{"billed_charge":280.0,"npi":[1598866691]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"522283535"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.0,"providers":[{"billed_charge":1925.0,"npi":[1588664940]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"825432351"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":50.0,"npi":[1356457592]}]},{"allowed_amount":38.61,"providers":[{"billed_charge":50.0,"npi":[1356457592]}]}]},{"tin":{"type":"ein","value":"334957946"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":65.0,"npi":[1962118620]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98942AT","description":"Chiropractic Manipulative Treatment (Cmt); Spinal, 5 Regions","allowed_amounts":[{"tin":{"type":"ein","value":"942762069"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.5,"providers":[{"billed_charge":70.0,"npi":[1770676025]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":276.99,"providers":[{"billed_charge":276.99,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":303.52,"npi":[1336420140]},{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":345.0,"npi":[1386746998]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":117.86,"providers":[{"billed_charge":147.3,"npi":[1871889212]}]},{"allowed_amount":142.8,"providers":[{"billed_charge":147.3,"npi":[1871889212]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1326506130]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1073590683]}]},{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1497765291]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":32.07,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"824794684"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1457173320]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1528039484]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]},{"billed_charge":88.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":135.53,"npi":[1245720820]},{"billed_charge":129.08,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":39.42,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":155.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":122.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"910171250"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.4,"providers":[{"billed_charge":6.0,"npi":[1922541564]}]},{"allowed_amount":6.0,"providers":[{"billed_charge":6.0,"npi":[1922541564]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":44.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":74.55,"npi":[]}]},{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":65.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":32.23,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"271603469"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.21,"providers":[{"billed_charge":195.0,"npi":[1437285319]},{"billed_charge":200.0,"npi":[1437285319]}]}]},{"tin":{"type":"ein","value":"271603469"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":149.21,"providers":[{"billed_charge":200.0,"npi":[1437285319]},{"billed_charge":195.0,"npi":[1437285319]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":650.0,"npi":[1346479169]},{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":418.0,"npi":[1508589607,1578061883]},{"billed_charge":415.0,"npi":[1578061883,1629727219,1659145548]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":170.91,"providers":[{"billed_charge":350.0,"npi":[1124529565]}]},{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1659686509]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":210.97,"providers":[{"billed_charge":323.0,"npi":[1447415773]}]},{"allowed_amount":211.47,"providers":[{"billed_charge":323.0,"npi":[1295235281]}]},{"allowed_amount":179.75,"providers":[{"billed_charge":323.0,"npi":[1508830423]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":248.86,"providers":[{"billed_charge":425.7,"npi":[1255840559]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":263.2,"npi":[1467194787]}]}]},{"tin":{"type":"ein","value":"994844521"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":200.0,"npi":[1447474945]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"824794684"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":299.51,"npi":[1457173320]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"824794684"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":299.51,"npi":[1205656592,1457173320]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1033265657]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1033265657,1174273155,1295235281,1508830423]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":28.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":92.5,"npi":[1073599478]},{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1053686964]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":108.24,"providers":[{"billed_charge":573.04,"npi":[1609858729]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":68.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":88.27,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":232.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME compression stockings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530NU","description":"Compression stocking BK18-30","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":222.62,"providers":[{"billed_charge":268.46,"npi":[1457866261]}]}]},{"tin":{"type":"ein","value":"471484556"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":268.46,"providers":[{"billed_charge":268.46,"npi":[1093705170,1336777432,1497247118,1578653192,1891086443]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1279.02,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.06,"providers":[{"billed_charge":45.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.31,"providers":[{"billed_charge":138.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":134.56,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":122.96,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":123.02,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":246.04,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083495","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"932952612"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":134.4,"providers":[{"billed_charge":350.0,"npi":[1023401452]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":94.32,"providers":[{"billed_charge":165.45,"npi":[1548729734]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":94.32,"providers":[{"billed_charge":165.45,"npi":[1548729734]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1962725440]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.85,"providers":[{"billed_charge":240.0,"npi":[1063795789]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":430.0,"providers":[{"billed_charge":870.0,"npi":[1639160708]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]},{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":55.0,"npi":[1407948169]}]}]},{"tin":{"type":"ein","value":"912046481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":55.0,"npi":[1538591995]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.94,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.61,"npi":[1073599478]},{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":49.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":88.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":457.34,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":18.0,"npi":[1932599214]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":68.86,"providers":[{"billed_charge":109.18,"npi":[1245264399]}]}]}]},{"name":"Mammography age 50 and over","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":55.38,"providers":[{"billed_charge":88.38,"npi":[1386067478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["10","02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1750989034]}]}]},{"tin":{"type":"ein","value":"861747274"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1699456236]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"473503652"},"service_code":["03"],"billing_class":"professional","payments":[{"allowed_amount":193.75,"providers":[{"billed_charge":200.0,"npi":[1235977471]},{"billed_charge":230.0,"npi":[1235977471]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":133.35,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":60.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":389.03,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.76,"providers":[{"billed_charge":34.0,"npi":[1659145548]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1145.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":272.44,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1659145548]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":63.79,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1659145548]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":44.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1659145548]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":190.03,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":91.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":232.06,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":121.54,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"540042746"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":165.0,"npi":[1376733600]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":535.0,"npi":[1659145548]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.02,"providers":[{"billed_charge":472.0,"npi":[1629269592]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":294.55,"providers":[{"billed_charge":446.0,"npi":[1649665951,1891764353]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]},{"allowed_amount":265.32,"providers":[{"billed_charge":480.0,"npi":[1922452515]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80361","description":"Opiates, 1 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","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","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.17,"providers":[{"billed_charge":266.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80355","description":"Gabapentin, non-blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":17.93,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":107.35,"providers":[{"billed_charge":113.0,"npi":[1063483436,1538146626,1538334628]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1705.36,"npi":[1609858729]}]}]},{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":767.08,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":108.24,"providers":[{"billed_charge":573.16,"npi":[1609858729]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13.8,"providers":[{"billed_charge":75.27,"npi":[1356334577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":129.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1619934817]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1558514562]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1184604662]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8836059","description":"Morphometric Analysis, Tumor Immunohistochemistry, Quantitative Or Semiquantitative, Ea Antibody; Manual","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":106.58,"providers":[{"billed_charge":200.0,"npi":[1740733708]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911911869"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.88,"providers":[{"billed_charge":36.0,"npi":[1518041235]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":172.4,"providers":[{"billed_charge":172.4,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":14.63,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.59,"providers":[{"billed_charge":313.18,"npi":[1467890137]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.24,"providers":[{"billed_charge":587.0,"npi":[1699782722]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.37,"providers":[{"billed_charge":77.7,"npi":[]}]},{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]},{"billed_charge":99.75,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]},{"billed_charge":117.52,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223AI","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":1389.0,"npi":[1932780699]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"621658528"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":97.38,"providers":[{"billed_charge":170.0,"npi":[1053327890,1336676105]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99309","description":"Subsequent nursing FAC, per day, for the E/M of pt, req. a medically apt history and/or Ex and moderate level of medical decision making. Total time of the encounter, 30 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":77.17,"providers":[{"billed_charge":306.0,"npi":[1730684457]}]},{"allowed_amount":102.89,"providers":[{"billed_charge":306.0,"npi":[1013346725,1336671585,1679745640]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99310","description":"Subsequent nursing FAC, per day, for the E/M of a pt, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 45 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":147.65,"providers":[{"billed_charge":439.0,"npi":[1013346725,1194451336,1679745640]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":72.03,"npi":[1073599478]},{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1073590683,1508589607,1578061883]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":128.09,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.71,"providers":[{"billed_charge":6.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.52,"providers":[{"billed_charge":133.34,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1073590683,1508589607,1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]},{"allowed_amount":8.8,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]},{"allowed_amount":9.71,"providers":[{"billed_charge":91.34,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":109.19,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1073590683,1508589607,1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.75,"providers":[{"billed_charge":162.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.46,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":44.0,"npi":[1609395102,1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.28,"providers":[{"billed_charge":332.85,"npi":[]}]},{"allowed_amount":19.57,"providers":[{"billed_charge":332.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":118.6,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1073590683,1508589607,1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":6.71,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]},{"allowed_amount":2.7,"providers":[{"billed_charge":48.29,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":158.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":99.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":32.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":75.67,"npi":[1073599478]},{"billed_charge":48.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.92,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.84,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":118.66,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":54.95,"npi":[]},{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":241.8,"providers":[{"billed_charge":1200.0,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":109.92,"npi":[]},{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]},{"billed_charge":54.96,"npi":[]},{"billed_charge":41.67,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":16.93,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":14.0,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":14.0,"npi":[]}]}]}]},{"name":"Mental professional child IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":69.41,"providers":[{"billed_charge":202.0,"npi":[1104453497]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"844582670"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":137.39,"providers":[{"billed_charge":1008.0,"npi":[1528767597]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":126.45,"npi":[]}]}]}]},{"name":"OB office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.54,"providers":[{"billed_charge":228.0,"npi":[1962935593]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1932166386]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":12.74,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":190.05,"npi":[]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":256.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1609395102]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1609395102]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]},{"billed_charge":257.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1609395102]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":114.91,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":28.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":44.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]},{"allowed_amount":20.23,"providers":[{"billed_charge":149.1,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.21,"providers":[{"billed_charge":300.0,"npi":[1508594136]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1114940954]}]},{"allowed_amount":148.62,"providers":[{"billed_charge":273.0,"npi":[1750634507]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":155.27,"providers":[{"billed_charge":391.0,"npi":[1770198020]},{"billed_charge":447.5,"npi":[1255002929]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7685626","description":"Echography, Pelvic (Nonobstetric), B-Scan &/Or Real Time W/Image Documentation; Complete","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":112.0,"npi":[1487729281]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME compression stockings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530NU","description":"Compression stocking BK18-30","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":429.78,"npi":[1609858729]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]},{"allowed_amount":10.56,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":103.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82542","description":"Column chromatography, mass spectrometry, if performed (eg, HPLC, LC, LC/MS LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.34,"providers":[{"billed_charge":468.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":70.32,"npi":[]},{"billed_charge":71.76,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]},{"allowed_amount":9.71,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":206.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.03,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"830609011"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":199.82,"providers":[{"billed_charge":235.0,"npi":[1073790416]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":999.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1150.0,"npi":[1346479169]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1285975334]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4185KX","description":"Parenteral nutrition solution, not otherwise specified, 10 grams lipids","allowed_amounts":[{"tin":{"type":"ein","value":"680250542"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":156.38,"providers":[{"billed_charge":591.95,"npi":[1619084829]}]},{"allowed_amount":97.74,"providers":[{"billed_charge":394.63,"npi":[1619084829]}]},{"allowed_amount":159.55,"providers":[{"billed_charge":591.95,"npi":[1619084829]}]},{"allowed_amount":90.12,"providers":[{"billed_charge":591.95,"npi":[1619084829]}]},{"allowed_amount":205.25,"providers":[{"billed_charge":789.26,"npi":[1619084829]}]},{"allowed_amount":265.92,"providers":[{"billed_charge":591.95,"npi":[1619084829]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4193KX","description":"Parenteral Sol 52-73 Gm Prot","allowed_amounts":[{"tin":{"type":"ein","value":"680250542"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1427.58,"providers":[{"billed_charge":6839.0,"npi":[1619084829]}]},{"allowed_amount":1041.24,"providers":[{"billed_charge":6839.0,"npi":[1619084829]}]},{"allowed_amount":1799.5,"providers":[{"billed_charge":8793.0,"npi":[1619084829]}]},{"allowed_amount":2379.3,"providers":[{"billed_charge":6839.0,"npi":[1619084829]}]},{"allowed_amount":1399.61,"providers":[{"billed_charge":6839.0,"npi":[1619084829]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4224KX","description":"Parenteral Administration Ki","allowed_amounts":[{"tin":{"type":"ein","value":"680250542"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.33,"providers":[{"billed_charge":1372.0,"npi":[1619084829]}]},{"allowed_amount":259.0,"providers":[{"billed_charge":1372.0,"npi":[1619084829]}]},{"allowed_amount":155.4,"providers":[{"billed_charge":1372.0,"npi":[1619084829]}]},{"allowed_amount":195.86,"providers":[{"billed_charge":1764.0,"npi":[1619084829]}]},{"allowed_amount":208.89,"providers":[{"billed_charge":1372.0,"npi":[1619084829]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":34.0,"npi":[1184155426]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1790721538]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":43.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1790721538]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]},{"billed_charge":119.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":390.24,"providers":[{"billed_charge":1314.52,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":54.29,"providers":[{"billed_charge":81.61,"npi":[1386067478]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":67.51,"providers":[{"billed_charge":100.81,"npi":[1386067478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":554.21,"providers":[{"billed_charge":623.0,"npi":[1396987756]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.84,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.42,"providers":[{"billed_charge":926.0,"npi":[1699782722]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":199.77,"providers":[{"billed_charge":240.0,"npi":[1548213457]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"842296686"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":175.0,"npi":[1265085146,1780266072]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1255990503,1851749063]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]},{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"901099110"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":78.0,"npi":[1124380589]}]}]},{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":55.0,"npi":[1407948169]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1407948169]}]}]},{"tin":{"type":"ein","value":"901099110"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.69,"providers":[{"billed_charge":45.0,"npi":[1124380589]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":261.91,"providers":[{"billed_charge":268.46,"npi":[1578208542]}]},{"allowed_amount":222.62,"providers":[{"billed_charge":268.46,"npi":[1558082909]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":53.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":17.05,"npi":[]},{"billed_charge":26.83,"npi":[]},{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82024","description":"Assay Of Adrenocorticotropic Hormone (Acth)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.46,"providers":[{"billed_charge":279.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8239759","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.18,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":30.78,"npi":[]},{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":31.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.98,"providers":[{"billed_charge":318.86,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351691","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":61.69,"npi":[1245494517]},{"billed_charge":159.43,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":36.1,"npi":[]},{"billed_charge":41.45,"npi":[]},{"billed_charge":43.05,"npi":[1073599478]},{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.1,"npi":[]},{"billed_charge":47.41,"npi":[]},{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]},{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]},{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":24.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86036","description":"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.56,"providers":[{"billed_charge":64.47,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":423.0,"providers":[{"billed_charge":631.68,"npi":[1619618469]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"263737594"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":145.64,"providers":[{"billed_charge":250.0,"npi":[1487664603]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":243.99,"providers":[{"billed_charge":275.1,"npi":[1760777429]}]},{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1386790988]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":40.43,"providers":[{"billed_charge":53.9,"npi":[1760777429]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1386790988]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]},{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":154.9,"npi":[1073599478]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":293.31,"npi":[]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral Feed Supp Pump Per D","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":204.9,"providers":[{"billed_charge":537.0,"npi":[1134151699]}]},{"allowed_amount":20.49,"providers":[{"billed_charge":53.7,"npi":[1134151699]}]},{"allowed_amount":198.07,"providers":[{"billed_charge":519.1,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4161","description":"EF ped hydrolyzed/amino acid","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1386.0,"providers":[{"billed_charge":5652.0,"npi":[1134151699]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4332KX","description":"Lubricant For Cath Insertion","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":3.9,"providers":[{"billed_charge":11.7,"npi":[1639160708]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4353KX","description":"Intermittent Urinary Cath","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":332.8,"providers":[{"billed_charge":456.0,"npi":[1639160708]}]},{"allowed_amount":339.6,"providers":[{"billed_charge":456.0,"npi":[1639160708]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.0,"providers":[{"billed_charge":25.69,"npi":[1003922394]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.64,"providers":[{"billed_charge":1.64,"npi":[1073599478]}]},{"allowed_amount":3.71,"providers":[{"billed_charge":3.71,"npi":[1073599478]}]},{"allowed_amount":2.16,"providers":[{"billed_charge":2.16,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":89.54,"npi":[]},{"billed_charge":141.75,"npi":[]},{"billed_charge":90.15,"npi":[]}]},{"allowed_amount":16.03,"providers":[{"billed_charge":141.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.07,"npi":[]},{"billed_charge":37.3,"npi":[]},{"billed_charge":58.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.38,"npi":[]},{"billed_charge":171.95,"npi":[]},{"billed_charge":270.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":24.95,"npi":[]},{"billed_charge":18.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.12,"providers":[{"billed_charge":36.67,"npi":[]}]},{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.58,"providers":[{"billed_charge":61.95,"npi":[]}]},{"allowed_amount":6.34,"providers":[{"billed_charge":61.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.04,"npi":[]},{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]},{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]},{"billed_charge":29.35,"npi":[]},{"billed_charge":46.23,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]},{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":44.55,"npi":[1073599478]},{"billed_charge":71.4,"npi":[1073599478]}]},{"allowed_amount":5.7,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.24,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":53.04,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":99.06,"providers":[{"billed_charge":692.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":93.77,"npi":[]},{"billed_charge":115.44,"npi":[]}]}]},{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.49,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.07,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]},{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[1073599478]},{"billed_charge":45.88,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":220.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1184093098]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"474045481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":108.0,"providers":[{"billed_charge":150.0,"npi":[1003265521]}]}]},{"tin":{"type":"ein","value":"814581707"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":110.22,"providers":[{"billed_charge":170.0,"npi":[1902344955]}]}]},{"tin":{"type":"ein","value":"853428231"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":169.94,"providers":[{"billed_charge":275.0,"npi":[1194174284]}]}]},{"tin":{"type":"ein","value":"933373334"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":175.0,"npi":[1023176708]}]}]},{"tin":{"type":"ein","value":"474045481"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":127.0,"providers":[{"billed_charge":200.0,"npi":[1225399025]}]}]},{"tin":{"type":"ein","value":"205522122"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":200.0,"npi":[1790055671]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":431.74,"providers":[{"billed_charge":571.0,"npi":[1730130808,1841723475]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":407.51,"providers":[{"billed_charge":417.7,"npi":[1619282225]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1568857399]}]}]},{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":45.0,"npi":[1780754671,1790715126]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1376005553]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1336311307,1346715885,1942390539]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1346502770,1366690844,1528593308,1619282225,1942390539]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":35.1,"providers":[{"billed_charge":39.0,"npi":[1043552110]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1336415157,1386790988,1619381423]}]},{"allowed_amount":42.5,"providers":[{"billed_charge":50.0,"npi":[1336553676]}]},{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1306131453,1619381423,1669875886,1790866580]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1982995841]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"831157739"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.22,"providers":[{"billed_charge":120.0,"npi":[1871191122]}]},{"allowed_amount":80.98,"providers":[{"billed_charge":120.0,"npi":[1871191122]}]},{"allowed_amount":22.11,"providers":[{"billed_charge":60.0,"npi":[1033855218,1871191122]}]},{"allowed_amount":21.94,"providers":[{"billed_charge":60.0,"npi":[1871191122]}]},{"allowed_amount":26.94,"providers":[{"billed_charge":60.0,"npi":[1033855218]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"831157739"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.64,"providers":[{"billed_charge":80.0,"npi":[1033855218]}]},{"allowed_amount":48.94,"providers":[{"billed_charge":160.0,"npi":[1033855218,1871191122]}]},{"allowed_amount":40.7,"providers":[{"billed_charge":80.0,"npi":[1871191122]}]},{"allowed_amount":28.55,"providers":[{"billed_charge":80.0,"npi":[1033855218,1871191122]}]},{"allowed_amount":69.33,"providers":[{"billed_charge":240.0,"npi":[1871191122]}]},{"allowed_amount":48.83,"providers":[{"billed_charge":160.0,"npi":[1871191122]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"830230892"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":15.0,"npi":[1447364245]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":16.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":104.73,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":50.81,"npi":[1073599478]},{"billed_charge":154.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":141.55,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":114.63,"providers":[{"billed_charge":1813.84,"npi":[1699081083]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":107.58,"npi":[]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.16,"providers":[{"billed_charge":52.0,"npi":[1649610528]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7363026","description":"Radiologic Exam, Foot; Complete, 3+ Views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":25.44,"npi":[1639175144]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1134151699]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"842296686"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":175.0,"npi":[1780266072]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"200277709"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":187.0,"providers":[{"billed_charge":534.0,"npi":[1437418621]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940AT","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"931110050"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":72.0,"npi":[1356346381]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1770619892]}]}]},{"tin":{"type":"ein","value":"334957946"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":65.0,"npi":[1962118620]}]}]},{"tin":{"type":"ein","value":"923833139"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":100.0,"npi":[1700112794]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652RR","description":"Pneum Compres W/Cal Pressure","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":371.0,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]}]}]},{"name":"DME tens unit rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0730RR","description":"Tens Four Lead","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":10.67,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]},{"allowed_amount":68.53,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.0,"providers":[{"billed_charge":17.0,"npi":[1558489070,1750818019]}]},{"allowed_amount":9.35,"providers":[{"billed_charge":17.0,"npi":[1588441042,1982791521]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":387.0,"providers":[{"billed_charge":430.0,"npi":[1427261882]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":68.43,"npi":[]},{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"910565539"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":243.46,"providers":[{"billed_charge":370.0,"npi":[1043625551,1073877338,1093827248,1235273715,1316340573,1780605071,1841300167,1841418886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":33.0,"npi":[1073599478]},{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":337.5,"providers":[{"billed_charge":375.0,"npi":[1497765291]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":37.29,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":89.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82653","description":"Elastase, pancreatic (EL-1), fecal; quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.63,"providers":[{"billed_charge":308.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":47.52,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":83.86,"npi":[1538144910]}]},{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":42.25,"npi":[1073599478]},{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":159.43,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":206.85,"npi":[1073599478]},{"billed_charge":231.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":76.8,"providers":[{"billed_charge":548.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.24,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":130.76,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":93.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":128.29,"npi":[1689639544]},{"billed_charge":256.58,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.5,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":47.52,"npi":[1073599478]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.28,"providers":[{"billed_charge":17.0,"npi":[1093703100]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.0,"providers":[{"billed_charge":17.0,"npi":[1750818019]}]},{"allowed_amount":9.35,"providers":[{"billed_charge":17.0,"npi":[1588441042,1982791521]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":281.01,"providers":[{"billed_charge":614.0,"npi":[1790047868]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":20.0,"npi":[1770619892]}]}]},{"tin":{"type":"ein","value":"931110050"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":22.05,"npi":[1356346381]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.25,"providers":[{"billed_charge":46.25,"npi":[1083852776]}]},{"allowed_amount":46.9,"providers":[{"billed_charge":53.75,"npi":[1083852776]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"923833139"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":61.25,"npi":[1700112794]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":138.75,"npi":[1083852776]},{"billed_charge":161.25,"npi":[1083852776]}]},{"allowed_amount":37.52,"providers":[{"billed_charge":46.25,"npi":[1083852776]},{"billed_charge":50.0,"npi":[1083852776]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":58.0,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":44.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1659876399]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":116.21,"providers":[{"billed_charge":290.0,"npi":[1467910265,1801211123]}]}]},{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1225591787,1235227893,1275961765]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":478.32,"providers":[{"billed_charge":579.0,"npi":[1730262726]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":72.14,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":65.95,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":131.9,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":92.79,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.7,"providers":[{"billed_charge":135.45,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.49,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1083078521,1881004810]},{"billed_charge":53.64,"npi":[1871955328]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":15.72,"providers":[{"billed_charge":20.0,"npi":[1225023088]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":25.98,"npi":[1912947995]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":15.72,"providers":[{"billed_charge":20.0,"npi":[1225023088]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":776.7,"providers":[{"billed_charge":863.0,"npi":[1659011690]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":21.0,"npi":[1063497451]}]},{"allowed_amount":28.02,"providers":[{"billed_charge":119.23,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":106.84,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":104.21,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":163.05,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.18,"providers":[{"billed_charge":23.76,"npi":[1780563171]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":185.67,"providers":[{"billed_charge":190.31,"npi":[1982872370]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]},{"allowed_amount":81.0,"providers":[{"billed_charge":149.95,"npi":[1619295516]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4161","description":"EF ped hydrolyzed/amino acid","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1087.24,"providers":[{"billed_charge":2988.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":67.79,"providers":[{"billed_charge":444.75,"npi":[1134151699]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":353.45,"npi":[1487646360]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":160.2,"providers":[{"billed_charge":228.86,"npi":[1104466994]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"200391730"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":111.0,"providers":[{"billed_charge":265.0,"npi":[1760418370]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.18,"providers":[{"billed_charge":51.0,"npi":[1376838326]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.0,"providers":[{"billed_charge":32.0,"npi":[1346792033,1801072129]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":240.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":30.26,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":180.25,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.14,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.4,"providers":[{"billed_charge":105.28,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.8,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":240.45,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":141.75,"npi":[]}]}]}]},{"name":"Office service or supply","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1559","description":"Injection, immune globulin (hizentra), 100 mg","allowed_amounts":[{"tin":{"type":"ein","value":"462787212"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":3010.0,"providers":[{"billed_charge":14462.5,"npi":[1609209352]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":264.38,"providers":[{"billed_charge":411.0,"npi":[1245441971]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":303.27,"providers":[{"billed_charge":360.0,"npi":[1336309434]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":40.0,"npi":[1245441971,1376838326]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1669875886]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.18,"providers":[{"billed_charge":23.76,"npi":[1932435328]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":245.1,"providers":[{"billed_charge":258.0,"npi":[1538156799]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1932166386]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":136.74,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":224.22,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":133.52,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":43.52,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.06,"providers":[{"billed_charge":155.0,"npi":[1215942933]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0651RR","description":"Pneum Compressor Segmental","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":68.96,"providers":[{"billed_charge":134.0,"npi":[1427131424]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1285861989]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":149.92,"npi":[]},{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":718.0,"npi":[1346244043,1447668918,1558688945]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":410.0,"npi":[1457380883,1699233965,1861697682]},{"billed_charge":426.0,"npi":[1760771380]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":50.0,"npi":[1467955526]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":36.69,"npi":[]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.38,"providers":[{"billed_charge":2.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":82.94,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":44.0,"npi":[1144937442]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1073590683,1144937442]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":31.92,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":54.0,"npi":[1073599478]},{"billed_charge":163.05,"npi":[1073599478]},{"billed_charge":45.79,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.38,"providers":[{"billed_charge":2.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.64,"providers":[{"billed_charge":186.42,"npi":[]}]},{"allowed_amount":8.82,"providers":[{"billed_charge":145.96,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":38.85,"npi":[]}]},{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.84,"providers":[{"billed_charge":376.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":102.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.33,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]},{"allowed_amount":57.92,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.98,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]},{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":243.6,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":298.0,"npi":[1376510008,1851968838]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":185.5,"npi":[1912591975]}]}]},{"tin":{"type":"ein","value":"930425580"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1033139068]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":116.21,"providers":[{"billed_charge":290.0,"npi":[1821403320]}]},{"allowed_amount":136.72,"providers":[{"billed_charge":290.0,"npi":[1447438650]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"811026078"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":73.0,"npi":[1427933423]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":97.65,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":78.75,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":164.34,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":156.26,"npi":[]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Psychological testing OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96131","description":"Psychological testing evaluation services including interactive feedback to the patient, family member(s) or caregiver(s), when performed; each additional hour","allowed_amounts":[{"tin":{"type":"ein","value":"462761308"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":444.21,"providers":[{"billed_charge":945.0,"npi":[1073922449]}]},{"allowed_amount":148.07,"providers":[{"billed_charge":315.0,"npi":[1073922449]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1457408601,1922452515]}]}]},{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1871630350]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1063482305,1760565303]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":355.95,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":206.49,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":453.6,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":187.5,"npi":[1811218720]}]},{"allowed_amount":75.04,"providers":[{"billed_charge":125.0,"npi":[1811218720]}]},{"allowed_amount":37.52,"providers":[{"billed_charge":53.75,"npi":[1609104496]},{"billed_charge":62.5,"npi":[1609104496]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":107.5,"npi":[1609104496]},{"billed_charge":125.0,"npi":[1609104496,1811218720]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":62.5,"npi":[1811218720]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":640.0,"npi":[1457448771]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1356331060,1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1356331060,1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1356331060,1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1962411231]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":517.5,"providers":[{"billed_charge":2785.5,"npi":[1295827780]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":43.56,"providers":[{"billed_charge":420.0,"npi":[1538144910]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":90.9,"providers":[{"billed_charge":101.0,"npi":[1497765291]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"421703993"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":162.94,"providers":[{"billed_charge":360.0,"npi":[1841998242]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":405.0,"providers":[{"billed_charge":749.75,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":150.0,"providers":[{"billed_charge":249.75,"npi":[1619295516]}]}]}]},{"name":"DME ostomy supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4423","description":"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":438.9,"providers":[{"billed_charge":2115.41,"npi":[1609858729]}]},{"allowed_amount":159.6,"providers":[{"billed_charge":769.24,"npi":[1609858729]}]},{"allowed_amount":39.9,"providers":[{"billed_charge":192.31,"npi":[1609858729]}]},{"allowed_amount":79.8,"providers":[{"billed_charge":369.82,"npi":[1609858729]}]},{"allowed_amount":558.6,"providers":[{"billed_charge":2588.74,"npi":[1609858729]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":394.2,"providers":[{"billed_charge":1296.0,"npi":[1639160708]}]},{"allowed_amount":387.0,"providers":[{"billed_charge":1296.0,"npi":[1639160708]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80360","description":"Methylphenidate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":151.2,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.24,"providers":[{"billed_charge":587.0,"npi":[1699782722]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"CT Scan, Head or Brain; Without Contrast Material","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":125.0,"npi":[1396232351]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":602.0,"npi":[1366604589]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":204.16,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.92,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.66,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"916001537"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.47,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"262343447"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":250.0,"npi":[1073629010,1366872517]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":410.0,"npi":[1306044524,1538545082,1942912563]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":999.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":650.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":79.67,"npi":[1073599478]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77387","description":"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed","allowed_amounts":[{"tin":{"type":"ein","value":"411411888"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":41.87,"providers":[{"billed_charge":173.0,"npi":[1386872547]}]},{"allowed_amount":147.05,"providers":[{"billed_charge":173.0,"npi":[1831190412]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1124287198]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":245.1,"providers":[{"billed_charge":258.0,"npi":[1083249577]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7126026","description":"Computed tomography, thorax, diagnostic; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":228.53,"providers":[{"billed_charge":502.0,"npi":[1437495595,1629150354]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0667RR","description":"Seg Pneumatic Appl Full Leg","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13.99,"providers":[{"billed_charge":72.0,"npi":[1427131424]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"200391730"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":111.0,"providers":[{"billed_charge":265.0,"npi":[1760418370]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":500.0,"npi":[1396288338]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.1,"providers":[{"billed_charge":38.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":37.3,"npi":[]}]},{"allowed_amount":5.55,"providers":[{"billed_charge":37.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":31.05,"npi":[]}]},{"allowed_amount":4.55,"providers":[{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":40.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":63.98,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":32.0,"npi":[]}]},{"allowed_amount":4.75,"providers":[{"billed_charge":63.98,"npi":[]},{"billed_charge":64.47,"npi":[1073599478]},{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":210.2,"npi":[1073599478]},{"billed_charge":240.45,"npi":[1073599478]},{"billed_charge":63.1,"npi":[]}]},{"allowed_amount":25.07,"providers":[{"billed_charge":63.1,"npi":[]},{"billed_charge":192.15,"npi":[]},{"billed_charge":65.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]},{"billed_charge":46.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":94.36,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83013","description":"H. Pylori; Analysis For Urease Activity, Non-Radioactive Isotope","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.0,"providers":[{"billed_charge":340.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.65,"npi":[]}]},{"allowed_amount":11.67,"providers":[{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":204.75,"npi":[1073599478]},{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":80.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]},{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"Blood Count; Hemoglobin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.18,"providers":[{"billed_charge":20.47,"npi":[1073599478]},{"billed_charge":37.53,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":981.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]},{"billed_charge":116.55,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":22.08,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":105.86,"npi":[1073599478]},{"billed_charge":41.1,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":231.79,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":43.52,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":243.2,"providers":[{"billed_charge":256.0,"npi":[1326167404]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":314.45,"providers":[{"billed_charge":331.0,"npi":[1417156597]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":243.2,"providers":[{"billed_charge":256.0,"npi":[1083175079,1578533691]}]},{"allowed_amount":121.6,"providers":[{"billed_charge":128.0,"npi":[1598326308]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1023429388,1306102413]}]}]}]},{"name":"Physical therapy office","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0283GP","description":"Electrical Stimulation (Unattended), To One Or More Areas For Indicati","allowed_amounts":[{"tin":{"type":"ein","value":"050585249"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.88,"providers":[{"billed_charge":59.48,"npi":[1750438727,1952699043]}]},{"allowed_amount":22.5,"providers":[{"billed_charge":59.48,"npi":[1952699043]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":25.2,"npi":[1073599478]},{"billed_charge":53.55,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":337.5,"providers":[{"billed_charge":375.0,"npi":[1528039484]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":3.89,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":3.89,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":31.5,"npi":[]},{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":200.29,"npi":[]},{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[1073599478]},{"billed_charge":130.21,"npi":[1073599478]},{"billed_charge":137.28,"npi":[1073599478]},{"billed_charge":122.85,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.28,"npi":[1073599478]},{"billed_charge":130.21,"npi":[1073599478]},{"billed_charge":135.45,"npi":[1073599478]}]},{"allowed_amount":30.31,"providers":[{"billed_charge":30.31,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]},{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":52.05,"npi":[1609812445]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":80.2,"npi":[]},{"billed_charge":54.2,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":223.25,"providers":[{"billed_charge":235.0,"npi":[1124068978,1548618473,1720425572]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":102.5,"providers":[{"billed_charge":246.0,"npi":[1659574127]}]},{"allowed_amount":51.25,"providers":[{"billed_charge":123.0,"npi":[1659574127]}]},{"allowed_amount":205.0,"providers":[{"billed_charge":492.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":150.86,"providers":[{"billed_charge":610.02,"npi":[1346498755]}]},{"allowed_amount":50.29,"providers":[{"billed_charge":203.34,"npi":[1346498755]}]},{"allowed_amount":100.58,"providers":[{"billed_charge":402.3,"npi":[1831551092]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1578673372,1942298161]}]},{"allowed_amount":277.88,"providers":[{"billed_charge":525.0,"npi":[1215370630,1942298161]}]},{"allowed_amount":278.0,"providers":[{"billed_charge":350.0,"npi":[1609975226]}]},{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1609975226,1942298161]}]},{"allowed_amount":185.25,"providers":[{"billed_charge":350.0,"npi":[1609975226]}]}]},{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":67.29,"providers":[{"billed_charge":230.0,"npi":[1023016557,1598951303]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":155.27,"providers":[{"billed_charge":231.0,"npi":[1407220676]},{"billed_charge":663.0,"npi":[1457391633]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":55.1,"providers":[{"billed_charge":58.0,"npi":[1003259854,1033198163,1437702727,1467744706,1932605664,1962897298]}]}]},{"tin":{"type":"ein","value":"843261579"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":26.0,"npi":[1225473465]}]},{"allowed_amount":23.4,"providers":[{"billed_charge":26.0,"npi":[1770554859]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1255990503,1346502770,1871955328,1922373026]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":185.67,"providers":[{"billed_charge":190.31,"npi":[1851749063]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1851749063]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":34.0,"npi":[1184155426]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]},{"allowed_amount":249.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]},{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":1187.2,"npi":[1356334577]}]},{"allowed_amount":146.8,"providers":[{"billed_charge":712.32,"npi":[1356334577]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":432.36,"providers":[{"billed_charge":521.38,"npi":[1609503101]}]},{"allowed_amount":508.66,"providers":[{"billed_charge":521.38,"npi":[1396905493,1407804040,1528697463]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":167.78,"npi":[]},{"billed_charge":187.95,"npi":[1073599478]}]},{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]},{"billed_charge":140.21,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]},{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]},{"allowed_amount":8.2,"providers":[{"billed_charge":148.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.08,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":458.25,"providers":[{"billed_charge":684.32,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":295.95,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":250.89,"providers":[{"billed_charge":385.99,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":55.38,"providers":[{"billed_charge":88.38,"npi":[1386067478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1669875886]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":238.09,"providers":[{"billed_charge":238.09,"npi":[1043773401]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":333.71,"providers":[{"billed_charge":333.71,"npi":[1518455054]}]},{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1689629081]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":159.69,"providers":[{"billed_charge":315.0,"npi":[1427108240]}]},{"allowed_amount":173.69,"providers":[{"billed_charge":313.0,"npi":[1538622188]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":333.71,"providers":[{"billed_charge":333.71,"npi":[1518455054]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":100.8,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":100.8,"npi":[]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8834226","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":102.81,"providers":[{"billed_charge":105.38,"npi":[1386089977]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":45.0,"npi":[1659876399]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1699409748]}]},{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1659876399]}]},{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1790723286]}]}]},{"tin":{"type":"ein","value":"471026878"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":190.0,"npi":[1922986744]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.13,"providers":[{"billed_charge":20.13,"npi":[1225066707]}]},{"allowed_amount":47.16,"providers":[{"billed_charge":52.0,"npi":[1225066707]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":199.77,"providers":[{"billed_charge":240.0,"npi":[1912073370]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4160","description":"EF ped caloric dense>/=0.7kc","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":56.88,"providers":[{"billed_charge":192.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":67.79,"providers":[{"billed_charge":444.75,"npi":[1134151699]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":767.08,"npi":[1356334577]},{"billed_charge":821.88,"npi":[1356334577]},{"billed_charge":2136.96,"npi":[1356334577]}]},{"allowed_amount":146.8,"providers":[{"billed_charge":712.32,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":64.4,"providers":[{"billed_charge":351.26,"npi":[1356334577]}]},{"allowed_amount":82.8,"providers":[{"billed_charge":451.62,"npi":[1356334577]}]},{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]},{"allowed_amount":41.4,"providers":[{"billed_charge":225.81,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.74,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.98,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":56.6,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":43.24,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":175.0,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2200.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]},{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.68,"providers":[{"billed_charge":159.43,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351691","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.68,"providers":[{"billed_charge":61.69,"npi":[1245494517]},{"billed_charge":159.43,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8352059","description":"Immunoassay, Analyte, Quantitative; Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.0,"providers":[{"billed_charge":92.39,"npi":[1245494517]}]},{"allowed_amount":37.99,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86036","description":"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":64.47,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.18,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.99,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.99,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":61.98,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":100.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":100.63,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":100.63,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.81,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":41.0,"npi":[1568480804]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":106.05,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"870281028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.36,"providers":[{"billed_charge":198.0,"npi":[1184072902]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.85,"providers":[{"billed_charge":240.0,"npi":[1427162874]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1568806941]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.01,"providers":[{"billed_charge":68.01,"npi":[1760137400,1912947086]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]},{"allowed_amount":8.83,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]},{"allowed_amount":22.1,"providers":[{"billed_charge":31.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.95,"providers":[{"billed_charge":46.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":54.45,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":346.32,"providers":[{"billed_charge":479.16,"npi":[1043411168]}]},{"allowed_amount":173.16,"providers":[{"billed_charge":239.58,"npi":[1043411168]}]},{"allowed_amount":343.68,"providers":[{"billed_charge":479.16,"npi":[1558466177]}]},{"allowed_amount":519.49,"providers":[{"billed_charge":718.74,"npi":[1558466177]}]},{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1558466177]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":257.8,"providers":[{"billed_charge":360.0,"npi":[1427859164]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"471026878"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":190.0,"npi":[1922986744]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"833011825"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.3,"providers":[{"billed_charge":280.0,"npi":[1417581190]}]}]}]},{"name":"Xray office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7363026","description":"Radiologic Exam, Foot; Complete, 3+ Views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.62,"providers":[{"billed_charge":25.44,"npi":[1013027085]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230KX","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":389.2,"providers":[{"billed_charge":680.0,"npi":[1255330825]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97012","description":"Application of a modality to 1 or more areas; traction, mechanical","allowed_amounts":[{"tin":{"type":"ein","value":"810489339"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.0,"providers":[{"billed_charge":16.0,"npi":[1437207966]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":48.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":62.52,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.24,"providers":[{"billed_charge":587.0,"npi":[1699782722]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":163.69,"providers":[{"billed_charge":275.1,"npi":[1093115727,1184056483,1205237443]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1215450986]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":314.45,"providers":[{"billed_charge":331.0,"npi":[1083064257]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1215450986]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"931331676"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":188.42,"npi":[1245365857,1831699008]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":94.21,"npi":[1831699008]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1396011680,1760565303]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.35,"npi":[]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9586126","description":"Emg, Needle; 2 Extremities W/Wo Related Paraspinal Areas","allowed_amounts":[{"tin":{"type":"ein","value":"273815236"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":158.12,"providers":[{"billed_charge":4500.0,"npi":[1578622890]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1286.0,"npi":[1386351229]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":332.54,"providers":[{"billed_charge":430.0,"npi":[1811492739]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]},{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":254.44,"npi":[1295726032]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":179.55,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":30.78,"npi":[]},{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":63.98,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":32.0,"npi":[]},{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":103.12,"npi":[1295726032]},{"billed_charge":122.78,"npi":[1295726032]}]},{"allowed_amount":13.79,"providers":[{"billed_charge":103.12,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.39,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1386002038]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":120.76,"npi":[1295726032]}]},{"allowed_amount":16.9,"providers":[{"billed_charge":110.97,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":99.75,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":78.75,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":41.27,"npi":[]},{"billed_charge":41.45,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":38.85,"npi":[1538144910]}]},{"allowed_amount":6.16,"providers":[{"billed_charge":117.6,"npi":[1295726032]}]},{"allowed_amount":12.14,"providers":[{"billed_charge":125.59,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":119.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.8,"providers":[{"billed_charge":39.0,"npi":[1386002038]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.3,"providers":[{"billed_charge":141.09,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":49.18,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]},{"billed_charge":26.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":169.87,"npi":[1295726032]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":98.95,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":168.98,"npi":[1295726032]}]},{"allowed_amount":14.65,"providers":[{"billed_charge":96.35,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8748159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"223510467"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.14,"providers":[{"billed_charge":130.0,"npi":[1750373908]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":118.73,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.5,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.74,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.17,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":174.23,"npi":[]},{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779891","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.07,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]},{"allowed_amount":30.38,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":231.71,"npi":[1295726032]}]},{"allowed_amount":27.12,"providers":[{"billed_charge":243.6,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1851968838]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"882950399"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":123.8,"providers":[{"billed_charge":250.0,"npi":[1245994854]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"844264189"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":107.01,"providers":[{"billed_charge":300.0,"npi":[1518518885]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.0,"providers":[{"billed_charge":17.0,"npi":[1932634706]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":106.03,"providers":[{"billed_charge":400.0,"npi":[1700407574]}]},{"allowed_amount":141.37,"providers":[{"billed_charge":400.0,"npi":[1710641618]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.47,"providers":[{"billed_charge":279.0,"npi":[1457456873]}]}]},{"tin":{"type":"ein","value":"911866685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":104.41,"providers":[{"billed_charge":341.67,"npi":[1467433706]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1952304396]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":185.5,"npi":[1467194787]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":168.0,"npi":[1194604140]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":84.0,"npi":[1194604140]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.84,"providers":[{"billed_charge":80.0,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":53.81,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":24.37,"npi":[]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":202.49,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.42,"providers":[{"billed_charge":88.26,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":209.31,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":150.82,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":237.5,"providers":[{"billed_charge":250.0,"npi":[1457615999]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":86.26,"providers":[{"billed_charge":90.8,"npi":[1134462963]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.29,"providers":[{"billed_charge":79.0,"npi":[1154182269]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1497765291]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":178.35,"npi":[1609812445]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]}]},{"name":"Flu shot all ages","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":36.85,"providers":[{"billed_charge":62.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":34.0,"npi":[1184155426]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":269.99,"providers":[{"billed_charge":269.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":199.77,"providers":[{"billed_charge":240.0,"npi":[1205272986]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":356.19,"providers":[{"billed_charge":370.19,"npi":[1417078221]}]},{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1770673303]}]},{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1417078221]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1255427738]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4352KX","description":"Coude Tip Urinary Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1524.0,"providers":[{"billed_charge":1930.0,"npi":[1639160708]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":203.7,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9085395","description":"Group Psychotherapy (Other Than, Multiple-Family Group)","allowed_amounts":[{"tin":{"type":"ein","value":"943490576"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":31.36,"providers":[{"billed_charge":55.0,"npi":[1326096512]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":56.2,"providers":[{"billed_charge":238.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":125.27,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":256.58,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":120.0,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":305.68,"providers":[{"billed_charge":490.0,"npi":[1801318191]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":53.04,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":85.46,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":68.25,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":210.97,"providers":[{"billed_charge":323.0,"npi":[1114261229]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":99.02,"providers":[{"billed_charge":192.0,"npi":[1043907710]}]},{"allowed_amount":116.49,"providers":[{"billed_charge":192.0,"npi":[1063771095,1588241335]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"911742914"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.67,"providers":[{"billed_charge":51.0,"npi":[1306849955]}]},{"allowed_amount":61.34,"providers":[{"billed_charge":102.0,"npi":[1306849955]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"911742914"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.85,"providers":[{"billed_charge":50.0,"npi":[1306849955]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Transplant CT scan OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7125026","description":"Computed tomography, thorax, diagnostic; without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":128.74,"providers":[{"billed_charge":167.2,"npi":[1962051342]}]},{"allowed_amount":142.12,"providers":[{"billed_charge":167.2,"npi":[1518428812]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.26,"providers":[{"billed_charge":219.18,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":198.46,"providers":[{"billed_charge":275.0,"npi":[1598956963]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":82.95,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":111.15,"providers":[{"billed_charge":117.0,"npi":[1689651689]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99244","description":"Office or OP consult for new or est. patient, req. a medically apt history and/or Ex. and moderate level of medical decision making. Total time of the encounter, 40 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":704.9,"providers":[{"billed_charge":742.0,"npi":[1417156597]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.77,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.74,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.71,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908LT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":129.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1023150851]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1306257563]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1124309224]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764059","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8765359","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":109.01,"providers":[{"billed_charge":153.0,"npi":[1356922579]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":113.52,"providers":[{"billed_charge":942.96,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.33,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.16,"providers":[{"billed_charge":376.48,"npi":[]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1295722403,1730281502,1841396488]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":70.0,"npi":[]},{"billed_charge":111.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":194.71,"npi":[]},{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":241.6,"providers":[{"billed_charge":302.0,"npi":[1336218635]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1285861989]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":478.32,"providers":[{"billed_charge":579.0,"npi":[1134612658]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1831138403]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1891884755]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":50.0,"npi":[1609104496]}]}]},{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.77,"providers":[{"billed_charge":74.0,"npi":[1831738756]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1609104496]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.21,"providers":[{"billed_charge":60.0,"npi":[1184794182]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.16,"providers":[{"billed_charge":45.0,"npi":[1184794182]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chemical office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1144878810]}]}]}]},{"name":"Chemical professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"873064689"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.09,"providers":[{"billed_charge":150.0,"npi":[1275063901]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.95,"providers":[{"billed_charge":26.4,"npi":[1790247344]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.0,"providers":[{"billed_charge":19.0,"npi":[1619261021,1922160530]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":140.0,"providers":[{"billed_charge":784.62,"npi":[1790734036]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.88,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":17.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.5,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":14.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.34,"providers":[{"billed_charge":43.52,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":41.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":26.46,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":45.79,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[1285014282]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":16.86,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":105.0,"npi":[]}]},{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":243.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.47,"providers":[{"billed_charge":28.0,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861826692"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1477040426]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.36,"providers":[{"billed_charge":2.36,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.36,"providers":[{"billed_charge":2.36,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.6,"providers":[{"billed_charge":107.5,"npi":[1851882724]}]},{"allowed_amount":40.8,"providers":[{"billed_charge":62.5,"npi":[1851882724]},{"billed_charge":53.75,"npi":[1851882724]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":113.97,"providers":[{"billed_charge":125.0,"npi":[1851882724]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1050.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":108.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":96.34,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":127.9,"npi":[1073599478]},{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":218.11,"npi":[1073599478]},{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140359","description":"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions)","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.9,"providers":[{"billed_charge":740.8,"npi":[1598314437]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":25.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":90.15,"npi":[]},{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":59.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":46.24,"npi":[1073599478]},{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":45.9,"npi":[1073599478]},{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":43.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":87.6,"npi":[1073599478]},{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"823689737"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":124.66,"providers":[{"billed_charge":160.0,"npi":[1477794691]}]},{"allowed_amount":103.31,"providers":[{"billed_charge":160.0,"npi":[1477794691]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":254.4,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":131.76,"npi":[1073599478]},{"billed_charge":135.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":112.35,"npi":[1063497451]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":122.85,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.58,"providers":[{"billed_charge":460.0,"npi":[1023016557,1225036858]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.0,"providers":[{"billed_charge":32.0,"npi":[1982864278]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.9,"providers":[{"billed_charge":82.0,"npi":[1083249577]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":6.0,"npi":[1558593046]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1992822951]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":439.47,"providers":[{"billed_charge":450.48,"npi":[1407084841]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10.2,"providers":[{"billed_charge":35.0,"npi":[1164940821]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":73.4,"providers":[{"billed_charge":237.44,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":157.5,"providers":[{"billed_charge":388.35,"npi":[1710079223]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.0,"providers":[{"billed_charge":74.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":33.09,"npi":[]},{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":21.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":49.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":113.18,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":390.6,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":254.63,"providers":[{"billed_charge":360.0,"npi":[1255380788]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1932166386]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1801525191]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":58.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87496","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":306.6,"npi":[1538144910]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"562714996"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":110.02,"providers":[{"billed_charge":275.0,"npi":[1548925514]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":110.03,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":107.32,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[1538144910]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":123.63,"providers":[{"billed_charge":219.2,"npi":[1174620496]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1487635371,1922452515]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9586126","description":"Emg, Needle; 2 Extremities W/Wo Related Paraspinal Areas","allowed_amounts":[{"tin":{"type":"ein","value":"273815236"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":158.12,"providers":[{"billed_charge":4500.0,"npi":[1578622890]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836GT","description":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":128.59,"providers":[{"billed_charge":257.18,"npi":[1013383116]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":67.29,"providers":[{"billed_charge":230.0,"npi":[1023016557,1598951303]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":84.72,"npi":[]},{"billed_charge":84.74,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":161.64,"npi":[]},{"billed_charge":161.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":29.86,"npi":[]},{"billed_charge":30.14,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":142.2,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":85.5,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":113.52,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":47.16,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":121.2,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":31.92,"npi":[]},{"billed_charge":31.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":191.55,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.17,"npi":[]},{"billed_charge":29.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1720039803]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1720039803]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1609975226]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":52.05,"npi":[1609812445]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86146","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.85,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.22,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.16,"providers":[{"billed_charge":120.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9586126","description":"Emg, Needle; 2 Extremities W/Wo Related Paraspinal Areas","allowed_amounts":[{"tin":{"type":"ein","value":"273815236"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":158.12,"providers":[{"billed_charge":4500.0,"npi":[1578622890]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":30.56,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]},{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]},{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.64,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]},{"allowed_amount":17.82,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":40.97,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":31.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":41.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.61,"providers":[{"billed_charge":20.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]},{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.07,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]},{"allowed_amount":30.38,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]},{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]},{"billed_charge":232.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779891","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.07,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]},{"allowed_amount":30.38,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.2,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]},{"allowed_amount":44.65,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":87.6,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":121.16,"providers":[{"billed_charge":228.0,"npi":[1306563317,1508830423]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97010","description":"Application of a modality to 1 or more areas; hot or cold packs","allowed_amounts":[{"tin":{"type":"ein","value":"931110050"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.44,"providers":[{"billed_charge":12.0,"npi":[1356346381]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9714059","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"205983649"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.88,"providers":[{"billed_charge":95.08,"npi":[1447849187]}]},{"allowed_amount":64.32,"providers":[{"billed_charge":142.62,"npi":[1316763048]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":43.74,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":52.87,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":39.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":22.7,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Surgery in office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17380","description":"Electrolysis Epilation, Each One Half Hour","allowed_amounts":[{"tin":{"type":"ein","value":"841816770"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":750.0,"providers":[{"billed_charge":1750.0,"npi":[1740841436]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1659301554]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.61,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":257.8,"providers":[{"billed_charge":360.0,"npi":[1124309224]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":80.02,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":249.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.55,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8748159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.2,"providers":[{"billed_charge":263.2,"npi":[1245198084]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1720810278]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1720810278]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":39.0,"npi":[1023150851]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1366479099]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1659537405]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16.46,"providers":[{"billed_charge":27.0,"npi":[1770539991]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":37.19,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":134.7,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":63.43,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"882977235"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":114.79,"providers":[{"billed_charge":198.0,"npi":[1801209119]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"932952612"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":515.0,"npi":[1740688803]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":211.47,"providers":[{"billed_charge":323.0,"npi":[1033265657]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.75,"providers":[{"billed_charge":323.0,"npi":[1114261229]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97012","description":"Application of a modality to 1 or more areas; traction, mechanical","allowed_amounts":[{"tin":{"type":"ein","value":"931199406"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.17,"providers":[{"billed_charge":25.0,"npi":[1700981651]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"363949277"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.99,"providers":[{"billed_charge":65.0,"npi":[1366461006]}]},{"allowed_amount":34.04,"providers":[{"billed_charge":65.0,"npi":[1366461006]}]},{"allowed_amount":50.12,"providers":[{"billed_charge":96.0,"npi":[1366461006]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":16.76,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86708","description":"Hepatitis A antibody (HAAb)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":19.24,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":136.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":13.17,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":57.49,"npi":[1073599478]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":200.29,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.22,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":36.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":22.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":23.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":263.2,"npi":[1982577672]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1528039484]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":387.0,"providers":[{"billed_charge":783.0,"npi":[1639160708]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.03,"providers":[{"billed_charge":64.91,"npi":[1538105366]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"271361149"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":80.0,"npi":[1174482210]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":98.7,"npi":[1073599478]},{"billed_charge":30.9,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":43.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.2,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":219.35,"providers":[{"billed_charge":336.0,"npi":[1396938536]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":149.41,"providers":[{"billed_charge":352.0,"npi":[1316977309]}]}]}]},{"name":"Speech therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92507","description":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual","allowed_amounts":[{"tin":{"type":"ein","value":"262832855"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":200.0,"npi":[1992909162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":265.32,"providers":[{"billed_charge":480.0,"npi":[1922452515]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":155.4,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":50.0,"npi":[1811218720]}]},{"allowed_amount":112.56,"providers":[{"billed_charge":200.0,"npi":[1811218720]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"810520405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.92,"providers":[{"billed_charge":48.0,"npi":[1700938040]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":183.99,"providers":[{"billed_charge":183.99,"npi":[]}]},{"allowed_amount":262.49,"providers":[{"billed_charge":262.49,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":40.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":66.46,"npi":[1073599478]}]},{"allowed_amount":4.68,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":47.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":15.19,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":31.8,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]},{"billed_charge":106.6,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":106.05,"npi":[1538144910]},{"billed_charge":74.97,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":198.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":43.95,"npi":[1073599478]},{"billed_charge":200.29,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":15.19,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]},{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":128.29,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.4,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8762559","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":142.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.86,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]},{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":165.21,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"810262019"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":83.32,"providers":[{"billed_charge":168.0,"npi":[1912225061]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":1500.0,"npi":[1558672279]},{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1972828333]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"810520405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.92,"providers":[{"billed_charge":40.0,"npi":[1700938040]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"264283460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":61.79,"providers":[{"billed_charge":154.0,"npi":[1336868868]}]}]},{"tin":{"type":"ein","value":"481290066"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":94.98,"providers":[{"billed_charge":142.0,"npi":[1639062854]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":92.79,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.25,"providers":[{"billed_charge":123.0,"npi":[1659574127]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]},{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":155.27,"providers":[{"billed_charge":390.0,"npi":[1609496645]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"DME compression stockings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530NU","description":"Compression stocking BK18-30","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":60.0,"npi":[1891728697]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4160","description":"EF ped caloric dense>/=0.7kc","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":355.5,"providers":[{"billed_charge":1470.0,"npi":[1134151699]}]},{"allowed_amount":142.2,"providers":[{"billed_charge":588.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":67.79,"providers":[{"billed_charge":444.75,"npi":[1134151699]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":198.12,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":113.29,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":135.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":59.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":168.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.34,"providers":[{"billed_charge":165.57,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[]}]},{"allowed_amount":8.2,"providers":[{"billed_charge":89.89,"npi":[]},{"billed_charge":100.17,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]},{"allowed_amount":2.44,"providers":[{"billed_charge":44.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.15,"providers":[{"billed_charge":54.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.72,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764159","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staph Aureus, Methicillin Resistant, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.43,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"880683865"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":160.0,"npi":[1093994741]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":106.61,"providers":[{"billed_charge":244.8,"npi":[1730994484]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":513.61,"providers":[{"billed_charge":562.19,"npi":[1346330933]}]},{"allowed_amount":562.19,"providers":[{"billed_charge":562.19,"npi":[1316469356]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"453825517"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":185.0,"npi":[1104700046]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":80.18,"providers":[{"billed_charge":165.45,"npi":[1033849252]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"461495284"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":60.62,"providers":[{"billed_charge":120.0,"npi":[1598701773]}]},{"allowed_amount":50.22,"providers":[{"billed_charge":120.0,"npi":[1316983059]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":12.0,"npi":[1598705311]}]}]},{"tin":{"type":"ein","value":"262072378"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.09,"providers":[{"billed_charge":10.0,"npi":[1992768824]}]}]},{"tin":{"type":"ein","value":"860828589"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.0,"providers":[{"billed_charge":6.0,"npi":[1992390405]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":87.87,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":191.96,"providers":[{"billed_charge":280.0,"npi":[1417390287]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.3,"providers":[{"billed_charge":362.0,"npi":[1659457281]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"392960395"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1801483193]}]}]},{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":55.0,"npi":[1407948169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":158.55,"npi":[]},{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.0,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":469.69,"providers":[{"billed_charge":684.32,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":205.65,"providers":[{"billed_charge":315.9,"npi":[1245198084]}]}]}]},{"name":"OB office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1538106414]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1861806523]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":243.99,"providers":[{"billed_charge":275.1,"npi":[1366821688]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":346.32,"providers":[{"billed_charge":479.16,"npi":[1043411168]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.21,"providers":[{"billed_charge":60.0,"npi":[1184794182]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":39.5,"npi":[1073599478]},{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":18.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":47.52,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":36.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":38.12,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":59.53,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":417.7,"providers":[{"billed_charge":417.7,"npi":[1528158144]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.5,"providers":[{"billed_charge":92.5,"npi":[1609104496]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":92.5,"npi":[1609104496]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.82,"providers":[{"billed_charge":71.0,"npi":[1457747206]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.06,"providers":[{"billed_charge":155.0,"npi":[1457747206]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":64.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[1073599478]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":150.0,"npi":[1811218720]},{"billed_charge":200.0,"npi":[1811218720]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0621","description":"SO, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":33.46,"providers":[{"billed_charge":75.0,"npi":[1891728697]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":345.0,"npi":[1598184293]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.0,"providers":[{"billed_charge":12.0,"npi":[]}]},{"allowed_amount":17.0,"providers":[{"billed_charge":17.0,"npi":[]}]},{"allowed_amount":63.0,"providers":[{"billed_charge":63.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":294.55,"providers":[{"billed_charge":446.0,"npi":[1972723286]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[]}]},{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[]},{"billed_charge":32.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.86,"providers":[{"billed_charge":32.23,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":446.5,"providers":[{"billed_charge":470.0,"npi":[1881871275]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1871955328]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":39.52,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":135.3,"providers":[{"billed_charge":716.45,"npi":[1609858729]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":234.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":114.63,"providers":[{"billed_charge":1813.84,"npi":[1770087207]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140359","description":"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions)","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.9,"providers":[{"billed_charge":740.8,"npi":[1598314437]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":157.21,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232FS","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"742161737"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":249.1,"providers":[{"billed_charge":288.0,"npi":[1104351998,1295266971,1760919237,1811456825,1861577512,1881740496,1932498870]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99291","description":"Critical Care, Evaluation & Management; First 30-74 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"471696666"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":954.25,"providers":[{"billed_charge":978.11,"npi":[1215295365]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.23,"providers":[{"billed_charge":86.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]},{"billed_charge":53.13,"npi":[1073599478]}]},{"allowed_amount":8.74,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.4,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.68,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":133.52,"npi":[1073599478]},{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.62,"providers":[{"billed_charge":34.0,"npi":[1619934817]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"823689737"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":103.31,"providers":[{"billed_charge":160.0,"npi":[1477794691]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":243.2,"providers":[{"billed_charge":256.0,"npi":[1558480087]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":366.83,"providers":[{"billed_charge":621.0,"npi":[1932583119]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":451.94,"providers":[{"billed_charge":507.0,"npi":[1083168009]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"264283460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.18,"providers":[{"billed_charge":126.0,"npi":[1336868868]}]},{"allowed_amount":22.09,"providers":[{"billed_charge":63.0,"npi":[1336868868]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.5,"providers":[{"billed_charge":2.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.5,"providers":[{"billed_charge":2.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]},{"allowed_amount":15.47,"providers":[{"billed_charge":200.29,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":24.0,"npi":[]}]},{"allowed_amount":8.55,"providers":[{"billed_charge":24.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.47,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":104.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":122.85,"npi":[1073599478]},{"billed_charge":129.15,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":135.45,"npi":[1073599478]},{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":176.05,"providers":[{"billed_charge":305.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":203.34,"npi":[1346498755]}]},{"allowed_amount":100.58,"providers":[{"billed_charge":406.68,"npi":[1346498755]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1578673372,1609975226]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"742161737"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":30.16,"providers":[{"billed_charge":37.0,"npi":[1386825362]}]},{"allowed_amount":36.55,"providers":[{"billed_charge":37.0,"npi":[1194056002,1245693001,1457586851,1508842451,1518350594,1538387139,1578619185,1598987166,1700863578,1710121637,1720429970,1740294099,1922085794,1932367968,1952506859]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":256.94,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":21.85,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":82.95,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":277.88,"providers":[{"billed_charge":525.0,"npi":[1609975226]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"262683180"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.0,"providers":[{"billed_charge":25.0,"npi":[1437211836]}]},{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1437211836]}]}]},{"tin":{"type":"ein","value":"481274572"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1033196027]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1538144910]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.85,"providers":[{"billed_charge":221.0,"npi":[1124905328]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"814221217"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":938.35,"providers":[{"billed_charge":1340.5,"npi":[1134697196]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":237.5,"providers":[{"billed_charge":250.0,"npi":[1538334628]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":258.0,"npi":[1225473465]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":110.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":101.65,"providers":[{"billed_charge":107.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1619934817]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":216.6,"providers":[{"billed_charge":228.0,"npi":[1932737269]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":201.15,"npi":[1346498755]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.25,"providers":[{"billed_charge":350.0,"npi":[1609975226]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1528039484]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"330361048"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":41.54,"providers":[{"billed_charge":85.0,"npi":[1891787594]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.8,"providers":[{"billed_charge":87.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1063450120]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1043531999]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"923833139"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":100.0,"npi":[1700112794]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":53.0,"npi":[1073599478]},{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":157.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":107.34,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":99.06,"providers":[{"billed_charge":704.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":95.36,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.12,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]},{"allowed_amount":29.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"042807148"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":218.03,"providers":[{"billed_charge":343.0,"npi":[1619262607]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]},{"billed_charge":27.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":57.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1215230578]}]},{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1497723704]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":260.0,"providers":[{"billed_charge":1245.0,"npi":[1144429994]}]},{"allowed_amount":364.0,"providers":[{"billed_charge":1743.0,"npi":[1144429994]}]},{"allowed_amount":312.0,"providers":[{"billed_charge":1494.0,"npi":[1144429994,1871955435,1871988295]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.46,"providers":[{"billed_charge":27.0,"npi":[1497700975]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":21.12,"providers":[{"billed_charge":26.4,"npi":[1295112241]}]},{"allowed_amount":17.95,"providers":[{"billed_charge":26.4,"npi":[1144310004,1417090978,1831274646]}]}]},{"tin":{"type":"ein","value":"930386868"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"274425994"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1710046826]}]}]},{"tin":{"type":"ein","value":"853127716"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":65.0,"npi":[1992959472]}]},{"allowed_amount":65.0,"providers":[{"billed_charge":65.0,"npi":[1992959472]}]}]},{"tin":{"type":"ein","value":"931195001"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":84.0,"npi":[1073725685]}]}]},{"tin":{"type":"ein","value":"931199406"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1700981651]}]}]},{"tin":{"type":"ein","value":"334957946"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":65.0,"npi":[1962118620]}]}]},{"tin":{"type":"ein","value":"825432351"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":50.0,"npi":[1356457592]}]},{"allowed_amount":38.61,"providers":[{"billed_charge":50.0,"npi":[1356457592]}]}]},{"tin":{"type":"ein","value":"202063548"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":72.0,"npi":[1609949882]}]},{"allowed_amount":48.72,"providers":[{"billed_charge":72.0,"npi":[1609949882]}]}]},{"tin":{"type":"ein","value":"261551428"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":106.0,"providers":[{"billed_charge":106.0,"npi":[1831412022]}]},{"allowed_amount":93.5,"providers":[{"billed_charge":93.5,"npi":[1831412022]}]}]},{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1770619892]}]}]},{"tin":{"type":"ein","value":"331570818"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":90.0,"npi":[1730161480]}]}]},{"tin":{"type":"ein","value":"412031959"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":89.29,"providers":[{"billed_charge":178.58,"npi":[1235280595]},{"billed_charge":89.29,"npi":[1235280595]}]},{"allowed_amount":44.65,"providers":[{"billed_charge":89.29,"npi":[1235280595]}]},{"allowed_amount":53.93,"providers":[{"billed_charge":89.29,"npi":[1235280595]},{"billed_charge":178.58,"npi":[1235280595]}]}]},{"tin":{"type":"ein","value":"461704056"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":74.95,"npi":[1992006035]}]},{"allowed_amount":48.72,"providers":[{"billed_charge":74.95,"npi":[1992006035]}]}]},{"tin":{"type":"ein","value":"824431687"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1679612410]}]}]},{"tin":{"type":"ein","value":"830315590"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.59,"providers":[{"billed_charge":75.0,"npi":[1639267396]}]},{"allowed_amount":41.52,"providers":[{"billed_charge":75.0,"npi":[1639267396]}]},{"allowed_amount":69.18,"providers":[{"billed_charge":75.0,"npi":[1639267396]}]}]},{"tin":{"type":"ein","value":"833832684"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.16,"providers":[{"billed_charge":68.0,"npi":[1952698987]}]}]},{"tin":{"type":"ein","value":"873384482"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":95.0,"npi":[1942773049]}]},{"allowed_amount":95.0,"providers":[{"billed_charge":95.0,"npi":[1942773049]}]}]},{"tin":{"type":"ein","value":"911788642"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":65.0,"npi":[1609645977]}]}]},{"tin":{"type":"ein","value":"931268720"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":89.29,"providers":[{"billed_charge":89.29,"npi":[1376674929]}]},{"allowed_amount":93.75,"providers":[{"billed_charge":93.75,"npi":[1376674929]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"202063548"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.69,"providers":[{"billed_charge":35.0,"npi":[1609949882]}]},{"allowed_amount":31.5,"providers":[{"billed_charge":35.0,"npi":[1609949882]}]}]},{"tin":{"type":"ein","value":"833832684"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":40.0,"npi":[1952698987]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Contraceptive office visit/ family planning","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.37,"providers":[{"billed_charge":53.9,"npi":[1457809477]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":345.0,"providers":[{"billed_charge":1857.0,"npi":[1295827780]}]}]},{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]},{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]},{"allowed_amount":405.0,"providers":[{"billed_charge":749.75,"npi":[1619295516]}]},{"allowed_amount":162.0,"providers":[{"billed_charge":279.9,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.0,"providers":[{"billed_charge":258.9,"npi":[1295827780]}]}]},{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":150.0,"providers":[{"billed_charge":249.75,"npi":[1619295516]}]},{"allowed_amount":60.0,"providers":[{"billed_charge":99.9,"npi":[1619295516]}]},{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0621","description":"SO, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":33.46,"providers":[{"billed_charge":75.0,"npi":[1891728697]}]}]}]},{"name":"DME ostomy supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4423","description":"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":79.8,"providers":[{"billed_charge":389.12,"npi":[1609858729]},{"billed_charge":454.26,"npi":[1609858729]}]},{"allowed_amount":119.7,"providers":[{"billed_charge":648.82,"npi":[1609858729]}]},{"allowed_amount":234.0,"providers":[{"billed_charge":1310.34,"npi":[1609858729]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652RR","description":"Pneum Compres W/Cal Pressure","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":371.0,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":193.5,"providers":[{"billed_charge":391.5,"npi":[1639160708]}]},{"allowed_amount":64.5,"providers":[{"billed_charge":216.0,"npi":[1639160708]},{"billed_charge":130.5,"npi":[1639160708]}]},{"allowed_amount":129.0,"providers":[{"billed_charge":432.0,"npi":[1639160708]}]},{"allowed_amount":131.4,"providers":[{"billed_charge":432.0,"npi":[1639160708]}]},{"allowed_amount":65.7,"providers":[{"billed_charge":130.5,"npi":[1639160708]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4453","description":"Rectal catheter with or without balloon, for use with any type transanal irrigation system, each","allowed_amounts":[{"tin":{"type":"ein","value":"510600729"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11.11,"providers":[{"billed_charge":37.33,"npi":[1720160385]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.38,"providers":[{"billed_charge":17.0,"npi":[1073590683]}]},{"allowed_amount":18.76,"providers":[{"billed_charge":34.0,"npi":[1073590683,1386002038,1609395102,1891492773,1962689695]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.97,"providers":[{"billed_charge":34.0,"npi":[1215596465]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.0,"providers":[{"billed_charge":17.0,"npi":[1922114313]}]},{"allowed_amount":12.36,"providers":[{"billed_charge":16.0,"npi":[1225416266]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":18.76,"providers":[{"billed_charge":34.0,"npi":[1255496808]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":345.0,"npi":[1194737429]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2400.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8762559","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":142.8,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":65.0,"npi":[]},{"billed_charge":84.0,"npi":[]}]},{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]},{"billed_charge":53.3,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"916001537"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.56,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]},{"billed_charge":132.51,"npi":[]},{"billed_charge":137.26,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":76.25,"npi":[]},{"billed_charge":99.75,"npi":[1073599478]},{"billed_charge":54.58,"npi":[]},{"billed_charge":68.43,"npi":[1073599478]},{"billed_charge":117.16,"npi":[1073599478]},{"billed_charge":53.19,"npi":[1073599478]},{"billed_charge":132.51,"npi":[]},{"billed_charge":54.0,"npi":[]},{"billed_charge":64.86,"npi":[1073599478]},{"billed_charge":84.24,"npi":[1073599478]},{"billed_charge":102.93,"npi":[]},{"billed_charge":117.52,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]}]},{"allowed_amount":29.27,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":142.8,"providers":[{"billed_charge":147.3,"npi":[1871889212]}]}]},{"tin":{"type":"ein","value":"931103256"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":75.0,"providers":[{"billed_charge":100.0,"npi":[1972640712]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":274.55,"providers":[{"billed_charge":398.0,"npi":[1184747388,1316134158,1841723475]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":194.39,"providers":[{"billed_charge":242.0,"npi":[1245495340,1285709568,1750330601]}]}]},{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":718.0,"npi":[1164159091,1639776917,1942812219]}]}]},{"tin":{"type":"ein","value":"463495681"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":322.0,"npi":[1184005332,1225204886]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":426.0,"npi":[1578008397,1942236559]}]}]}]},{"name":"Hospital visit or service OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223AI","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":1389.0,"npi":[1962630392]}]}]}]},{"name":"Hospital visit or service OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":737.0,"npi":[1164159091]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":29.9,"npi":[1073599478]},{"billed_charge":43.1,"npi":[1073599478]},{"billed_charge":47.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":61.8,"npi":[1538144910]},{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.31,"providers":[{"billed_charge":3.31,"npi":[]}]},{"allowed_amount":3.71,"providers":[{"billed_charge":3.71,"npi":[1073599478]}]},{"allowed_amount":3.82,"providers":[{"billed_charge":3.82,"npi":[1073599478]}]},{"allowed_amount":4.55,"providers":[{"billed_charge":34.14,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":39.97,"npi":[1073599478]},{"billed_charge":74.24,"npi":[]},{"billed_charge":78.57,"npi":[1073599478]},{"billed_charge":26.46,"npi":[1073599478]}]},{"allowed_amount":5.78,"providers":[{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":59.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1538144910]},{"billed_charge":75.86,"npi":[1538144910]},{"billed_charge":124.54,"npi":[1538144910]}]},{"allowed_amount":28.44,"providers":[{"billed_charge":102.9,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":71.08,"npi":[]}]},{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]},{"billed_charge":125.83,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82248","description":"Bilirubin; Direct","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":6.4,"npi":[1073599478]},{"billed_charge":6.91,"npi":[1073599478]},{"billed_charge":21.82,"npi":[1073599478]},{"billed_charge":23.11,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":3.46,"providers":[{"billed_charge":3.46,"npi":[]}]},{"allowed_amount":3.66,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":49.85,"npi":[1073599478]},{"billed_charge":118.65,"npi":[1073599478]}]},{"allowed_amount":14.76,"providers":[{"billed_charge":80.85,"npi":[]},{"billed_charge":103.0,"npi":[]}]},{"allowed_amount":16.3,"providers":[{"billed_charge":103.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1144937442,1285324756,1366930463,1376510008,1386002038,1609395102,1760299986,1891492773,1952056376,1962689695]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":123.43,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1538144910]},{"billed_charge":36.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":79.0,"npi":[]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]},{"billed_charge":46.2,"npi":[1073599478]}]},{"allowed_amount":13.63,"providers":[{"billed_charge":79.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1144937442,1285324756,1366930463,1386002038,1578061883,1609395102,1629727219,1760299986,1962689695]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":46.24,"npi":[1073599478]},{"billed_charge":109.91,"npi":[]},{"billed_charge":47.3,"npi":[1073599478]},{"billed_charge":106.05,"npi":[1073599478]},{"billed_charge":107.32,"npi":[1073599478]},{"billed_charge":111.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.92,"providers":[{"billed_charge":186.0,"npi":[1073599478]}]},{"allowed_amount":15.3,"providers":[{"billed_charge":186.0,"npi":[]}]},{"allowed_amount":15.53,"providers":[{"billed_charge":231.73,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":83.55,"npi":[1538144910]},{"billed_charge":73.0,"npi":[1538144910]},{"billed_charge":199.03,"npi":[1538144910]},{"billed_charge":195.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1144937442,1285324756,1366930463,1386002038,1578061883,1609395102,1760299986,1891492773,1962689695]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":81.49,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]},{"allowed_amount":11.43,"providers":[{"billed_charge":102.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.25,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.46,"providers":[{"billed_charge":3.46,"npi":[]}]},{"allowed_amount":3.39,"providers":[{"billed_charge":14.21,"npi":[1073599478]},{"billed_charge":22.0,"npi":[1073599478]},{"billed_charge":3.66,"npi":[1073599478]},{"billed_charge":3.67,"npi":[1073599478]},{"billed_charge":21.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":52.6,"npi":[1073599478]},{"billed_charge":141.75,"npi":[1073599478]},{"billed_charge":149.97,"npi":[]},{"billed_charge":162.0,"npi":[]}]},{"allowed_amount":19.72,"providers":[{"billed_charge":113.0,"npi":[]}]},{"allowed_amount":21.73,"providers":[{"billed_charge":113.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1073590683,1144937442,1285324756,1366930463,1376510008,1386002038,1578061883,1609395102,1629727219,1689730616,1760299986,1891492773,1952056376,1962689695]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.57,"providers":[{"billed_charge":309.75,"npi":[]}]},{"allowed_amount":19.28,"providers":[{"billed_charge":247.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1073590683,1144937442,1285324756,1366930463,1376510008,1386002038,1578061883,1609395102,1689730616,1760299986,1891492773,1952056376,1962689695]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1538144910]},{"billed_charge":152.83,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":81.66,"npi":[]}]},{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":128.75,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]},{"billed_charge":109.1,"npi":[1073599478]}]},{"allowed_amount":9.02,"providers":[{"billed_charge":81.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84445","description":"Thyroid Stimulating Immunoglobulins (Tsi)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.1,"providers":[{"billed_charge":340.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":47.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.03,"providers":[{"billed_charge":126.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.57,"providers":[{"billed_charge":23.08,"npi":[]}]},{"allowed_amount":3.62,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1538144910]},{"billed_charge":83.53,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.95,"providers":[{"billed_charge":71.0,"npi":[1073599478]}]},{"allowed_amount":11.75,"providers":[{"billed_charge":71.0,"npi":[]}]},{"allowed_amount":11.92,"providers":[{"billed_charge":46.0,"npi":[1073599478]},{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":124.8,"npi":[1073599478]},{"billed_charge":86.89,"npi":[1073599478]},{"billed_charge":246.71,"npi":[1073599478]},{"billed_charge":32.0,"npi":[]},{"billed_charge":84.25,"npi":[]},{"billed_charge":108.8,"npi":[1073599478]},{"billed_charge":113.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":150.82,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86665","description":"Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.42,"providers":[{"billed_charge":279.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":23.92,"npi":[1073599478]},{"billed_charge":58.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[]},{"billed_charge":23.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87045","description":"Culture, Bacterial; Feces W/Isolation & Preliminary Exam, Salmonella & Shigella Species","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":23.87,"npi":[1073599478]},{"billed_charge":38.12,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":128.29,"npi":[1689639544]},{"billed_charge":256.58,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":119.29,"npi":[]},{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":37.0,"npi":[1285676072,1689195414]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":220.51,"npi":[]},{"billed_charge":142.02,"npi":[]},{"billed_charge":232.08,"npi":[]},{"billed_charge":233.17,"npi":[]}]},{"allowed_amount":77.22,"providers":[{"billed_charge":232.08,"npi":[]}]},{"allowed_amount":64.61,"providers":[{"billed_charge":102.75,"npi":[]},{"billed_charge":155.45,"npi":[]},{"billed_charge":232.08,"npi":[]},{"billed_charge":220.51,"npi":[]},{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Massage therapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9712459","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)","allowed_amounts":[{"tin":{"type":"ein","value":"205983649"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":237.7,"providers":[{"billed_charge":237.7,"npi":[1336400969]}]},{"allowed_amount":88.96,"providers":[{"billed_charge":190.16,"npi":[1265210488,1316496151,1316763048,1336400969,1427911247,1447849187,1710847157]}]},{"allowed_amount":95.08,"providers":[{"billed_charge":95.08,"npi":[1265210488]}]},{"allowed_amount":127.6,"providers":[{"billed_charge":190.16,"npi":[1447849187]}]},{"allowed_amount":133.44,"providers":[{"billed_charge":285.24,"npi":[1316763048,1427911247,1710847157]}]},{"allowed_amount":285.24,"providers":[{"billed_charge":285.24,"npi":[1316763048,1336400969,1427911247,1447849187]}]},{"allowed_amount":190.16,"providers":[{"billed_charge":190.16,"npi":[1245009554,1265210488,1316763048,1336400969,1427911247,1447849187,1730513102,1912796996]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":30.9,"npi":[1073599478]},{"billed_charge":98.7,"npi":[1073599478]},{"billed_charge":30.85,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.91,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":138.37,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":254.45,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":39.25,"npi":[1073599478]},{"billed_charge":43.1,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":111.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.82,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.65,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"393451431"},"service_code":["10","11"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":265.0,"npi":[1114657129,1962610006]}]}]},{"tin":{"type":"ein","value":"393843002"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":180.0,"npi":[1548019649]}]}]},{"tin":{"type":"ein","value":"474836643"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":200.0,"npi":[1548564420]}]}]},{"tin":{"type":"ein","value":"043791759"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":165.0,"npi":[1528257011]}]},{"allowed_amount":107.01,"providers":[{"billed_charge":165.0,"npi":[1528257011]}]}]},{"tin":{"type":"ein","value":"094746250"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":122.36,"providers":[{"billed_charge":150.0,"npi":[1366971855]}]}]},{"tin":{"type":"ein","value":"813124438"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.01,"providers":[{"billed_charge":180.0,"npi":[1548795917]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1225539570]}]}]},{"tin":{"type":"ein","value":"861826692"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1669971461]}]}]},{"tin":{"type":"ein","value":"872835013"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":250.0,"npi":[1134827256]}]}]},{"tin":{"type":"ein","value":"990956300"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":178.05,"providers":[{"billed_charge":275.0,"npi":[1285528562]}]},{"allowed_amount":157.95,"providers":[{"billed_charge":300.0,"npi":[1285528562]}]},{"allowed_amount":184.61,"providers":[{"billed_charge":300.0,"npi":[1285528562]}]},{"allowed_amount":159.67,"providers":[{"billed_charge":300.0,"npi":[1285528562]}]},{"allowed_amount":186.81,"providers":[{"billed_charge":300.0,"npi":[1285528562]}]}]},{"tin":{"type":"ein","value":"540042746"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":165.0,"npi":[1376733600]}]}]},{"tin":{"type":"ein","value":"760693850"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.02,"providers":[{"billed_charge":210.0,"npi":[1083782445]},{"billed_charge":200.0,"npi":[1083782445]}]}]},{"tin":{"type":"ein","value":"874516482"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.67,"providers":[{"billed_charge":175.0,"npi":[1184974669]}]}]},{"tin":{"type":"ein","value":"273310076"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.01,"providers":[{"billed_charge":130.0,"npi":[1093025157]}]},{"allowed_amount":117.0,"providers":[{"billed_charge":130.0,"npi":[1093025157]}]}]},{"tin":{"type":"ein","value":"413331290"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":180.0,"npi":[1467934745]}]}]},{"tin":{"type":"ein","value":"811296138"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":160.0,"npi":[1457422917]}]},{"allowed_amount":157.58,"providers":[{"billed_charge":160.0,"npi":[1457422917]}]}]},{"tin":{"type":"ein","value":"831232422"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":200.0,"npi":[1851176069]}]}]},{"tin":{"type":"ein","value":"832291613"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":145.0,"providers":[{"billed_charge":145.0,"npi":[1063960128]}]}]},{"tin":{"type":"ein","value":"862423148"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":250.0,"npi":[1518229350]}]}]},{"tin":{"type":"ein","value":"930921282"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":315.0,"npi":[1124793583]}]}]},{"tin":{"type":"ein","value":"933562938"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":108.18,"providers":[{"billed_charge":180.0,"npi":[1134598303]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"882950399"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":63.25,"providers":[{"billed_charge":130.0,"npi":[1245994854]}]}]}]},{"name":"Naturopath office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930795159"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":93.05,"providers":[{"billed_charge":100.0,"npi":[1073010880]}]},{"allowed_amount":98.96,"providers":[{"billed_charge":100.0,"npi":[1073010880]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]},{"billed_charge":650.0,"npi":[1346479169]}]},{"allowed_amount":150.7,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":36.2,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Obesity endorsement lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":241.81,"providers":[{"billed_charge":381.0,"npi":[1417765934]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":320.26,"providers":[{"billed_charge":597.3,"npi":[1316022122]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911019392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":164.0,"npi":[1861175671]}]},{"allowed_amount":103.82,"providers":[{"billed_charge":164.0,"npi":[1851354849]}]},{"allowed_amount":88.25,"providers":[{"billed_charge":164.0,"npi":[1669047965,1861175671]}]}]},{"tin":{"type":"ein","value":"911866685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":316.26,"npi":[1205125945]}]},{"allowed_amount":104.41,"providers":[{"billed_charge":341.67,"npi":[1467433706]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":185.5,"npi":[1467194787]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":83.81,"providers":[{"billed_charge":223.0,"npi":[1457336158,1730906892]}]},{"allowed_amount":98.6,"providers":[{"billed_charge":223.0,"npi":[1467548941]}]}]},{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":400.0,"npi":[1710641618]},{"billed_charge":411.0,"npi":[1710641618]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":116.21,"providers":[{"billed_charge":290.0,"npi":[1821168840]}]},{"allowed_amount":136.72,"providers":[{"billed_charge":290.0,"npi":[1194195412,1225526890,1902898661,1992798805]}]},{"allowed_amount":207.21,"providers":[{"billed_charge":279.0,"npi":[1699296491,1801889191]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.82,"providers":[{"billed_charge":279.0,"npi":[1841077310]}]},{"allowed_amount":179.47,"providers":[{"billed_charge":279.0,"npi":[1073520284,1073552535,1619900214,1881970200]}]}]},{"tin":{"type":"ein","value":"930798039"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":276.0,"npi":[1104839679,1497017354,1720039704,1790103463]},{"billed_charge":293.0,"npi":[1104839679,1194934307,1235351974,1275114811,1437197852,1497017354,1700248309]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1164631461]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":298.0,"npi":[1073590683,1376510008,1386002038,1609395102,1629727219,1891492773,1952056376,1962689695]},{"billed_charge":290.0,"npi":[1285324756,1356331060,1366930463,1376510008,1386002038,1578061883,1659145548,1891492773,1962689695]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1063751642,1164857520,1285676072,1427282938,1700229929,1871682997]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.54,"providers":[{"billed_charge":228.0,"npi":[1245556026,1295235281,1306106547,1396869798,1447415773,1487619417,1700890597,1790045045,1871567941]}]},{"allowed_amount":140.65,"providers":[{"billed_charge":228.0,"npi":[1154602738,1245556026,1295235281,1306106547,1699750869,1871567941,1912225160]}]},{"allowed_amount":121.16,"providers":[{"billed_charge":228.0,"npi":[1639776370]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":106.03,"providers":[{"billed_charge":153.0,"npi":[1417387820]}]}]},{"tin":{"type":"ein","value":"930573054"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":94.66,"providers":[{"billed_charge":170.0,"npi":[1164933065]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.79,"providers":[{"billed_charge":311.0,"npi":[1649802232,1790547693,1962146498]}]},{"allowed_amount":142.11,"providers":[{"billed_charge":355.0,"npi":[1609210525]},{"billed_charge":311.0,"npi":[1316031255,1922114313,1982340816]}]},{"allowed_amount":240.92,"providers":[{"billed_charge":329.0,"npi":[1750744108]}]}]},{"tin":{"type":"ein","value":"362193608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":241.17,"npi":[1689688137]}]}]},{"tin":{"type":"ein","value":"571181758"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":97.15,"providers":[{"billed_charge":232.1,"npi":[1831904184]}]}]},{"tin":{"type":"ein","value":"930425580"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1831345131]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":466.0,"npi":[1609210525,1750744108]}]},{"allowed_amount":177.65,"providers":[{"billed_charge":437.0,"npi":[1407184021,1649802232,1710397823]}]},{"allowed_amount":209.0,"providers":[{"billed_charge":437.0,"npi":[1235132978,1235472325,1558599654,1609210525]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1790369403]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":183.74,"providers":[{"billed_charge":319.0,"npi":[1649802547]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":254.63,"providers":[{"billed_charge":360.0,"npi":[1619900214]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":263.2,"npi":[1124800313,1467194787,1912591975]}]}]},{"tin":{"type":"ein","value":"320260988"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":144.18,"providers":[{"billed_charge":485.0,"npi":[1346574787]}]},{"allowed_amount":122.56,"providers":[{"billed_charge":485.0,"npi":[1043695018]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":450.0,"npi":[1447592266]},{"billed_charge":468.0,"npi":[1003019340,1669825550]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":163.69,"providers":[{"billed_charge":275.1,"npi":[1184310708,1346724028]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":170.91,"providers":[{"billed_charge":350.0,"npi":[1699717009]}]},{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1033566336,1134222458,1194195412,1538623319,1689666927,1770010787,1902898661,1992798805]}]},{"allowed_amount":292.22,"providers":[{"billed_charge":336.0,"npi":[1033566336,1124529565,1194195412,1538368360,1558745083,1699296491,1821168840,1952797763,1962091652,1992065460]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":179.75,"providers":[{"billed_charge":323.0,"npi":[1114261229]}]}]},{"tin":{"type":"ein","value":"930798039"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":388.0,"npi":[1104357714,1174523757,1548202013]},{"billed_charge":411.0,"npi":[1114371911,1285647735,1356026942]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":175.0,"providers":[{"billed_charge":175.0,"npi":[1144937442]}]},{"allowed_amount":205.02,"providers":[{"billed_charge":418.0,"npi":[1144937442,1285324756,1376510008,1386002038,1578061883,1659145548,1760299986,1851968838,1891492773,1952056376]},{"billed_charge":415.0,"npi":[1073590683,1144937442,1285324756,1386002038,1508589607,1558916049,1578061883,1629727219,1679806137,1689730616,1760299986,1891492773,1952056376,1962689695]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":129.35,"providers":[{"billed_charge":328.0,"npi":[1457336158]}]},{"allowed_amount":152.18,"providers":[{"billed_charge":328.0,"npi":[1467548941]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.75,"providers":[{"billed_charge":323.0,"npi":[1114261229]}]},{"allowed_amount":210.97,"providers":[{"billed_charge":323.0,"npi":[1114261229,1700890597]}]},{"allowed_amount":211.47,"providers":[{"billed_charge":323.0,"npi":[1033265657,1295235281,1447415773,1700890597,1790045045,1861604217,1871567941,1912225160]}]}]},{"tin":{"type":"ein","value":"911019392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":146.9,"providers":[{"billed_charge":231.0,"npi":[1790724987]}]}]},{"tin":{"type":"ein","value":"930573054"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.54,"providers":[{"billed_charge":235.0,"npi":[1164933065]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1245707272,1457653081,1659703593,1710424510]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97032","description":"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.0,"providers":[{"billed_charge":40.0,"npi":[1184128845]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"462071391"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":25.0,"npi":[1033939335,1700591054,1720872799,1922981877]}]},{"allowed_amount":25.0,"providers":[{"billed_charge":25.0,"npi":[1700591054,1720872799,1922981877]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97535GP","description":"Self Care/Home Management Training, Direct Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"911889011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":34.19,"providers":[{"billed_charge":70.0,"npi":[1003383555,1962956938]}]},{"allowed_amount":45.49,"providers":[{"billed_charge":70.0,"npi":[1568336873]}]},{"allowed_amount":39.84,"providers":[{"billed_charge":70.0,"npi":[1568336873,1962956938]}]}]}]},{"name":"Physical therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"471918230"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":71.11,"providers":[{"billed_charge":150.0,"npi":[1619359643]}]},{"allowed_amount":104.39,"providers":[{"billed_charge":225.0,"npi":[1619359643]}]},{"allowed_amount":79.67,"providers":[{"billed_charge":150.0,"npi":[1619359643]}]},{"allowed_amount":119.5,"providers":[{"billed_charge":225.0,"npi":[1619359643]}]}]},{"tin":{"type":"ein","value":"910876634"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.71,"providers":[{"billed_charge":56.0,"npi":[1366838260]}]},{"allowed_amount":39.83,"providers":[{"billed_charge":56.0,"npi":[1366838260]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1073590683,1285324756,1356331060,1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":188.65,"npi":[]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":254.4,"npi":[1073599478]},{"billed_charge":118.75,"npi":[1073599478]},{"billed_charge":131.65,"npi":[1073599478]},{"billed_charge":111.0,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]}]},{"allowed_amount":36.35,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":195.3,"npi":[1538144910,1750368700]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]},{"billed_charge":53.13,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":91.65,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.37,"providers":[{"billed_charge":117.6,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1073590683,1285324756]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":44.7,"npi":[1073599478]},{"billed_charge":163.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1073590683,1285324756,1356331060,1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":32.23,"npi":[1073599478]},{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":108.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":96.34,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":73.45,"npi":[1073599478]},{"billed_charge":91.35,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":72.14,"npi":[]},{"billed_charge":127.51,"npi":[]},{"billed_charge":50.81,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":70.18,"providers":[{"billed_charge":120.0,"npi":[1649407792]}]},{"allowed_amount":94.74,"providers":[{"billed_charge":180.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":114.35,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":114.35,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":37.0,"npi":[1578504957]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":101.82,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":123.51,"npi":[1538144910]}]},{"allowed_amount":57.39,"providers":[{"billed_charge":72.45,"npi":[1215914288]},{"billed_charge":279.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"912180910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":62.14,"npi":[1821092297]}]}]},{"tin":{"type":"ein","value":"541882269"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":43.5,"providers":[{"billed_charge":345.0,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]},{"tin":{"type":"ein","value":"823146637"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":2277.2,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":214.2,"npi":[]}]},{"allowed_amount":57.39,"providers":[{"billed_charge":214.2,"npi":[]},{"billed_charge":68.38,"npi":[]},{"billed_charge":123.51,"npi":[]},{"billed_charge":154.13,"npi":[]}]},{"allowed_amount":58.25,"providers":[{"billed_charge":194.31,"npi":[]},{"billed_charge":254.39,"npi":[]},{"billed_charge":303.18,"npi":[]},{"billed_charge":99.0,"npi":[]},{"billed_charge":167.18,"npi":[]},{"billed_charge":202.49,"npi":[]},{"billed_charge":214.2,"npi":[]},{"billed_charge":228.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"851099688"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":155.35,"npi":[1457977209]},{"billed_charge":93.21,"npi":[1457977209]}]},{"allowed_amount":64.77,"providers":[{"billed_charge":93.21,"npi":[1457977209]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":20.0,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":17.98,"npi":[]},{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":2988.1,"npi":[1063011898]}]}]},{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.43,"providers":[{"billed_charge":228.86,"npi":[1467890137]}]}]},{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":88.23,"providers":[{"billed_charge":176.0,"npi":[1730466590]}]}]},{"tin":{"type":"ein","value":"883286578"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":87.75,"providers":[{"billed_charge":2500.0,"npi":[1366150773]}]}]},{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":265.3,"npi":[]}]},{"allowed_amount":58.25,"providers":[{"billed_charge":68.38,"npi":[]},{"billed_charge":99.0,"npi":[]},{"billed_charge":194.7,"npi":[]},{"billed_charge":431.2,"npi":[]}]}]},{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]}]},{"tin":{"type":"ein","value":"455513274"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":58.19,"providers":[{"billed_charge":250.0,"npi":[1093345654]}]},{"allowed_amount":58.41,"providers":[{"billed_charge":250.0,"npi":[1093345654]}]}]},{"tin":{"type":"ein","value":"923818310"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":155.35,"npi":[1063253094]}]}]},{"tin":{"type":"ein","value":"912180910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":62.14,"npi":[1821092297]}]}]},{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]}]},{"name":"Surgery in office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17380","description":"Electrolysis Epilation, Each One Half Hour","allowed_amounts":[{"tin":{"type":"ein","value":"841816770"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":600.0,"providers":[{"billed_charge":1400.0,"npi":[1740841436]}]},{"allowed_amount":750.0,"providers":[{"billed_charge":1750.0,"npi":[1740841436]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.06,"providers":[{"billed_charge":155.0,"npi":[1124287198,1518926864,1659301554,1689164832,1871630350]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1487635371]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.87,"providers":[{"billed_charge":220.0,"npi":[1922452515]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1265820229]}]}]},{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1235227893,1275961765,1700349404]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1992097612]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1952881898]}]},{"allowed_amount":142.11,"providers":[{"billed_charge":311.0,"npi":[1730262726]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":116.21,"providers":[{"billed_charge":290.0,"npi":[1467910265]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":209.0,"providers":[{"billed_charge":437.0,"npi":[1730262726]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":292.22,"providers":[{"billed_charge":336.0,"npi":[1801211123]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.38,"providers":[{"billed_charge":2.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80366","description":"Pregabalin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":27.47,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"522283535"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.0,"providers":[{"billed_charge":520.0,"npi":[1588664940]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9894359","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.05,"providers":[{"billed_charge":55.0,"npi":[1184128845,1992023766]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80355","description":"Gabapentin, non-blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":6.88,"npi":[]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1145.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":175.64,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":107.79,"npi":[1073599478]},{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]},{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":410.0,"npi":[1306006135,1942246947]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1386002038,1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":47.0,"npi":[1073599478]},{"billed_charge":159.36,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":199.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1558916049,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":261.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86708","description":"Hepatitis A antibody (HAAb)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":95.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":59.53,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":50.92,"providers":[{"billed_charge":50.92,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1386002038,1558916049]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":107.0,"npi":[1932184322]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":82.0,"npi":[1073599478]},{"billed_charge":243.6,"npi":[1073599478]},{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"393451431"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":265.0,"npi":[1114657129]}]}]},{"tin":{"type":"ein","value":"540042746"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":165.0,"npi":[1376733600]}]}]},{"tin":{"type":"ein","value":"333860495"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":200.0,"npi":[1316516289]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Obesity endorsement lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1457653081,1922607357]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1225445513]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97010","description":"Application of a modality to 1 or more areas; hot or cold packs","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.44,"providers":[{"billed_charge":15.0,"npi":[1184128845,1992023766]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":35.7,"npi":[1932184322]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":37.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":43.25,"npi":[1073599478]},{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":44.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":47.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":57.0,"npi":[1073599478]},{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":41.67,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":87.64,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":53.76,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]},{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"455513274"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":58.41,"providers":[{"billed_charge":250.0,"npi":[1093345654]}]}]},{"tin":{"type":"ein","value":"851099688"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":93.21,"npi":[1457977209]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":194.31,"npi":[]}]},{"allowed_amount":58.25,"providers":[{"billed_charge":99.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.87,"providers":[{"billed_charge":220.0,"npi":[1922452515]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"931311054"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":80.0,"npi":[1760566012]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4352KX","description":"Coude Tip Urinary Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":6858.0,"providers":[{"billed_charge":8685.0,"npi":[1639160708]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]},{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":28.3,"npi":[1447665971,1457649626,1700175239]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"Blood Count; Hemoglobin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.18,"providers":[{"billed_charge":25.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":54.44,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":25.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.71,"providers":[{"billed_charge":3.71,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":88.26,"npi":[1538144910]}]},{"allowed_amount":17.08,"providers":[{"billed_charge":132.14,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":44.02,"npi":[1437135886]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":22.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1588274864]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":43.55,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":53.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1588274864]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":226.48,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1588274864]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":122.53,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":52.05,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":37.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":21.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":72.14,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":65.95,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":131.9,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":178.35,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":82.93,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90868","description":"Therapeutic Repetitive Transcranial Magnetic Stimulation Treatment; Delivery And Management, Per Session","allowed_amounts":[{"tin":{"type":"ein","value":"862107440"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":206.63,"providers":[{"billed_charge":350.0,"npi":[1093166142]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1962860346]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":17.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":87.15,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":72.79,"npi":[1073599478]},{"billed_charge":59.03,"npi":[]},{"billed_charge":137.28,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":37.0,"npi":[1528190956]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":145.7,"providers":[{"billed_charge":274.0,"npi":[1639406705]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.57,"providers":[{"billed_charge":3.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":89.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":95.75,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"201866969"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":109.71,"providers":[{"billed_charge":180.0,"npi":[1184508103,1225681679]},{"billed_charge":175.0,"npi":[1184508103,1225681679]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":23.0,"npi":[1578504957]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":65.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":57.16,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.64,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":148.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.86,"providers":[{"billed_charge":38.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.87,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.84,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.47,"providers":[{"billed_charge":58.8,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":98.7,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":39.0,"npi":[1174575716,1780096891]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.7,"providers":[{"billed_charge":135.45,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1861533481]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":24.58,"providers":[{"billed_charge":41.0,"npi":[1285975334]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1629025895]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":42.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":19.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]},{"billed_charge":45.88,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"454298417"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":179.51,"providers":[{"billed_charge":575.0,"npi":[1134836133]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":270.0,"npi":[1477394351]}]}]}]},{"name":"Anesthesia/Sedation ASC Medical colonoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":640.0,"npi":[1457448771]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":216.99,"providers":[{"billed_charge":216.99,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":31.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":9.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":169.02,"npi":[1073599478]},{"billed_charge":185.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":94.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":9.61,"npi":[1073599478]},{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":145.04,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":54.76,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]},{"billed_charge":162.74,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":14.21,"npi":[1073599478]},{"billed_charge":9.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":41.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]},{"billed_charge":92.07,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":149.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86664","description":"Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen (Ebna)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.09,"providers":[{"billed_charge":125.16,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":116.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.21,"npi":[1073599478]},{"billed_charge":160.51,"npi":[]},{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"454298417"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":165.69,"providers":[{"billed_charge":575.0,"npi":[1659946499]}]},{"allowed_amount":222.02,"providers":[{"billed_charge":575.0,"npi":[1881920007]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":270.0,"npi":[1396447488]}]}]}]},{"name":"Contraceptive office visit/ family planning","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":220.3,"providers":[{"billed_charge":347.0,"npi":[1386636249]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":179.47,"providers":[{"billed_charge":315.0,"npi":[1871530022]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.0,"providers":[{"billed_charge":17.0,"npi":[1447264841]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":317.74,"providers":[{"billed_charge":571.0,"npi":[1447264841]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1770272148]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":118.65,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1770272148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.11,"providers":[{"billed_charge":271.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":102.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Mental professional child residential","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":69.41,"providers":[{"billed_charge":202.0,"npi":[1013203652]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":89.5,"providers":[{"billed_charge":89.5,"npi":[1710402516]}]},{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1437768306]}]},{"allowed_amount":113.97,"providers":[{"billed_charge":125.0,"npi":[1437768306]}]},{"allowed_amount":107.5,"providers":[{"billed_charge":107.5,"npi":[1710402516]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93298TC","description":"Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":79.82,"providers":[{"billed_charge":110.0,"npi":[1124678263]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1770619892]}]}]},{"tin":{"type":"ein","value":"931199406"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1700981651]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":712.32,"npi":[1356334577]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81546","description":"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious)","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3600.0,"providers":[{"billed_charge":6400.0,"npi":[1134438427]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":100.58,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"930921282"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":315.0,"npi":[1124793583]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":97.15,"providers":[{"billed_charge":232.1,"npi":[1760182836]}]}]},{"tin":{"type":"ein","value":"911866685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":316.26,"npi":[1548411341]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"930425580"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1033139068]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":20.0,"npi":[1770619892]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":67.0,"npi":[1780327106]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":92.5,"npi":[1710402516]},{"billed_charge":100.0,"npi":[1609104496,1710402516]}]},{"allowed_amount":112.56,"providers":[{"billed_charge":161.25,"npi":[1811218720]},{"billed_charge":215.0,"npi":[1811218720]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1710402516]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":101.82,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77387","description":"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed","allowed_amounts":[{"tin":{"type":"ein","value":"752131429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":96.48,"providers":[{"billed_charge":637.0,"npi":[1881631356]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.87,"providers":[{"billed_charge":220.0,"npi":[1922452515]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.67,"providers":[{"billed_charge":28.36,"npi":[1124173653]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7356226","description":"Radiologic examination, knee; 3 views","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":18.09,"providers":[{"billed_charge":28.0,"npi":[1427552306]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93298TC","description":"Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":86.14,"providers":[{"billed_charge":110.0,"npi":[1124678263]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":107.58,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":84.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83013","description":"H. Pylori; Analysis For Urease Activity, Non-Radioactive Isotope","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.0,"providers":[{"billed_charge":340.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":46.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.8,"providers":[{"billed_charge":130.68,"npi":[]}]},{"allowed_amount":115.2,"providers":[{"billed_charge":942.96,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":43.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":93.45,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":170.79,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":341.7,"npi":[]}]},{"allowed_amount":96.9,"providers":[{"billed_charge":512.55,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831326","description":"Special Stains; Group Ii, All Other, Non-Immunocytochemistry & Non-Immunoperoxidase, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.1,"providers":[{"billed_charge":23.0,"npi":[1497167720]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1063450120]}]}]},{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1447755699]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":222.09,"providers":[{"billed_charge":1036.48,"npi":[1609858729]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":345.0,"npi":[1578856449]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":102.0,"npi":[]},{"billed_charge":175.64,"npi":[1073599478]},{"billed_charge":213.15,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":33.65,"npi":[1073599478]},{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":255.69,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":10.82,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":41.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.57,"providers":[{"billed_charge":332.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":67.87,"npi":[]},{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"262343447"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":250.0,"npi":[1275368474]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"882534227"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":185.0,"npi":[1104385590]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":245.64,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":168.16,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":199.7,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":81.21,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":37.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":163.66,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":99.0,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1275961765]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1962854034]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":32.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":51.99,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":405.4,"providers":[{"billed_charge":700.0,"npi":[1790980837]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"DME compression stockings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530NU","description":"Compression stocking BK18-30","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[1891728697]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0621","description":"SO, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":33.46,"providers":[{"billed_charge":75.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":24.37,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8762559","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":142.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":21.0,"npi":[1538144910]},{"billed_charge":71.08,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1073590683,1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":207.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1073590683,1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":101.85,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9711059","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","allowed_amounts":[{"tin":{"type":"ein","value":"845041605"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":122.4,"providers":[{"billed_charge":175.26,"npi":[1649717695]}]},{"allowed_amount":163.2,"providers":[{"billed_charge":233.68,"npi":[1649717695]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9714059","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"845041605"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":55.14,"npi":[1649717695]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":95.49,"providers":[{"billed_charge":512.55,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":232.06,"npi":[]},{"billed_charge":341.7,"npi":[]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99245","description":"Office or other OP consult for new or est. patient, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":885.4,"providers":[{"billed_charge":932.0,"npi":[1972982940]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4557NU","description":"Lead Wires, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":5.98,"providers":[{"billed_charge":19.95,"npi":[1770511552]}]},{"allowed_amount":11.7,"providers":[{"billed_charge":39.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":149.92,"npi":[]},{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":117.16,"npi":[]},{"billed_charge":137.26,"npi":[]},{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":126.09,"npi":[1538144910]},{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.54,"providers":[{"billed_charge":13.76,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":59.36,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":129.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":430.43,"providers":[{"billed_charge":1200.0,"npi":[1659655124]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":232.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"334984391"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":147.42,"providers":[{"billed_charge":225.0,"npi":[1205062643]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"508110172"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":185.0,"npi":[1265666440]}]}]},{"tin":{"type":"ein","value":"930921282"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":335.0,"npi":[1790217578]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.02,"providers":[{"billed_charge":471.0,"npi":[1588000483]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":161.25,"npi":[1083852776]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":179.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":69.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":156.26,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":226.32,"providers":[{"billed_charge":300.0,"npi":[1659655124]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1669816898]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7683026","description":"Echography, Transvaginal","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.83,"providers":[{"billed_charge":113.0,"npi":[1487729281]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":962.0,"npi":[1750511168]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":32.0,"npi":[1073599478]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":906.0,"npi":[1750724308]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":49.57,"npi":[]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1144942277]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":64.26,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":118.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":175.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":133.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":102.23,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":116.55,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"454298417"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":222.02,"providers":[{"billed_charge":575.0,"npi":[1891422283]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1437768306]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":219.2,"providers":[{"billed_charge":219.2,"npi":[1699902726]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":480.0,"npi":[1558843326]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":398.0,"npi":[1902991672]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","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","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.17,"providers":[{"billed_charge":266.0,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":477.84,"providers":[{"billed_charge":597.3,"npi":[1538197785]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"912180910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":62.14,"npi":[1821092297]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"202906366"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":798.0,"npi":[1639568314]}]}]},{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1043531999]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":9.2,"providers":[{"billed_charge":50.18,"npi":[1356334577]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":24.37,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1376510008,1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"455412849"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":210.0,"npi":[1154002343]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652RR","description":"Pneum Compres W/Cal Pressure","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":371.0,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0656RR","description":"Segmental pneumatic appliance for use with pneumatic compressor, trunk","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":50.47,"providers":[{"billed_charge":110.0,"npi":[1427131424]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0667RR","description":"Seg Pneumatic Appl Full Leg","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13.99,"providers":[{"billed_charge":82.5,"npi":[1427131424]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":101.81,"npi":[]},{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":232.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":280.0,"providers":[{"billed_charge":1569.2,"npi":[1386674067]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":78.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":98.7,"npi":[1538144910]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":243.6,"npi":[1538144910]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1447665971]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.11,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.54,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.11,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":162.16,"providers":[{"billed_charge":280.0,"npi":[1417390287]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1417390287]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1952830416]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":980.1,"providers":[{"billed_charge":1089.0,"npi":[1780212944]}]}]},{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":895.0,"npi":[1144795709,1497218036]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":410.0,"npi":[1306006135,1437144078,1497494157,1760789176]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.42,"providers":[{"billed_charge":88.26,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.57,"providers":[{"billed_charge":55.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.8,"providers":[{"billed_charge":233.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":125.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":41.67,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":67.87,"npi":[]},{"billed_charge":101.81,"npi":[]},{"billed_charge":114.34,"npi":[]},{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1093433955,1841969912,1922705680]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":176.92,"npi":[1093433955,1841969912]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834GT","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":105.32,"providers":[{"billed_charge":242.5,"npi":[1699900142]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"853310042"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":225.0,"npi":[1831669217]}]}]},{"tin":{"type":"ein","value":"930921282"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":335.0,"npi":[1790217578]}]}]}]},{"name":"Occupational therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GO","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","allowed_amounts":[{"tin":{"type":"ein","value":"201008626"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":87.0,"npi":[1750915815]}]},{"allowed_amount":81.6,"providers":[{"billed_charge":174.0,"npi":[1750915815]}]},{"allowed_amount":122.4,"providers":[{"billed_charge":261.0,"npi":[1750915815]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"931331676"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.6,"providers":[{"billed_charge":194.02,"npi":[1831699008,1861093494]},{"billed_charge":198.88,"npi":[1861093494]}]},{"allowed_amount":40.8,"providers":[{"billed_charge":99.44,"npi":[1861093494]},{"billed_charge":97.01,"npi":[1861093494]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":258.3,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":160.51,"npi":[]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":203.34,"npi":[1346498755]}]}]},{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":133.16,"providers":[{"billed_charge":408.0,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1861533481,1922452515]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"932994132"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":125.0,"providers":[{"billed_charge":180.0,"npi":[1326716747]}]}]},{"tin":{"type":"ein","value":"932994132"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":121.61,"providers":[{"billed_charge":180.0,"npi":[1326716747]}]},{"allowed_amount":125.0,"providers":[{"billed_charge":180.0,"npi":[1326716747]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":76.82,"npi":[]},{"billed_charge":80.59,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":76.82,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":73.65,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.37,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1144795709]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.9,"providers":[{"billed_charge":94.44,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":184.47,"providers":[{"billed_charge":1452.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":390.6,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":80.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":72.26,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.59,"providers":[{"billed_charge":205.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":141.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":148.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":54.44,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":107.79,"npi":[1073599478]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":20.05,"providers":[{"billed_charge":31.5,"npi":[1336192970]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":243.62,"providers":[{"billed_charge":411.0,"npi":[1124330865]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":478.32,"providers":[{"billed_charge":579.0,"npi":[1508905522]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1003840398,1669859823]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]},{"allowed_amount":20.87,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]},{"billed_charge":82.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1750368700]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":54.62,"npi":[1073599478]},{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"844944161"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":300.0,"npi":[1396114955]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.28,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":125.46,"npi":[1073599478]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":89.48,"providers":[{"billed_charge":876.0,"npi":[1851308563]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"471432968"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":50.0,"npi":[1336158807]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":570.45,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":137.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":106.7,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.04,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Transplant hospital visit IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":133.62,"providers":[{"billed_charge":175.0,"npi":[1205859535]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.62,"providers":[{"billed_charge":45.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":35.0,"npi":[]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.82,"providers":[{"billed_charge":3.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.82,"providers":[{"billed_charge":3.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":64.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]},{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":77.7,"npi":[1073599478]}]},{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":69.3,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.98,"providers":[{"billed_charge":35.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":88.2,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.82,"providers":[{"billed_charge":3.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":49.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.55,"providers":[{"billed_charge":33.0,"npi":[1902141500]}]},{"allowed_amount":15.99,"providers":[{"billed_charge":34.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":32.23,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.24,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.3,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":431.74,"providers":[{"billed_charge":571.0,"npi":[1013116003]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":193.09,"providers":[{"billed_charge":311.0,"npi":[1588158166]}]},{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1053306100,1780413484]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.66,"providers":[{"billed_charge":153.0,"npi":[1467970616]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1376171611]}]},{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1821716838]}]},{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1376171611]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":131.11,"providers":[{"billed_charge":226.0,"npi":[1053145623]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":136.11,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":74.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":67.88,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":67.87,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":193.09,"providers":[{"billed_charge":311.0,"npi":[1376771584]}]},{"allowed_amount":106.03,"providers":[{"billed_charge":311.0,"npi":[1558611822]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":239.98,"providers":[{"billed_charge":239.98,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.42,"providers":[{"billed_charge":88.26,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":158.4,"providers":[{"billed_charge":1292.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":80.54,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":511.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.84,"providers":[{"billed_charge":137.62,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":91.77,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":131.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":97.39,"npi":[1073599478]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"901099110"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.72,"providers":[{"billed_charge":78.0,"npi":[1124380589]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.62,"providers":[{"billed_charge":45.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":35.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.55,"providers":[{"billed_charge":33.0,"npi":[1902141500]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1114585346]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"911113645"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.72,"providers":[{"billed_charge":55.0,"npi":[1407936586]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":17.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":134.4,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"931311054"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":80.0,"npi":[1760566012]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":105.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":47.52,"npi":[1073599478]},{"billed_charge":39.01,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":107.0,"npi":[1073599478]},{"billed_charge":95.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.28,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":613.7,"providers":[{"billed_charge":646.0,"npi":[1235682857]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941AT","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"932556741"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":75.0,"npi":[1033534482]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":161.48,"providers":[{"billed_charge":873.64,"npi":[1609858729]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.06,"providers":[{"billed_charge":148.99,"npi":[1609858729]}]},{"allowed_amount":54.12,"providers":[{"billed_charge":297.98,"npi":[1609858729]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1035.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.1,"providers":[{"billed_charge":38.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":54.44,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":40.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]},{"billed_charge":82.81,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86036","description":"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.43,"providers":[{"billed_charge":60.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.7,"providers":[{"billed_charge":254.5,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.34,"providers":[{"billed_charge":72.75,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":38.88,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.08,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.15,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.45,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":49.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":126.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"272931022"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":255.62,"providers":[{"billed_charge":870.0,"npi":[1093993263]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":137.69,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":360.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":211.6,"providers":[{"billed_charge":275.1,"npi":[1841678547]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1215915103]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"223647673"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28.0,"providers":[{"billed_charge":192.0,"npi":[1821634122]}]},{"allowed_amount":14.0,"providers":[{"billed_charge":96.0,"npi":[1679179386,1821634122]}]},{"allowed_amount":27.99,"providers":[{"billed_charge":192.0,"npi":[1679179386]}]},{"allowed_amount":36.74,"providers":[{"billed_charge":192.0,"npi":[1821634122]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":114.63,"providers":[{"billed_charge":1813.84,"npi":[1891038501]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":42.8,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.74,"providers":[{"billed_charge":373.8,"npi":[]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":2461.65,"npi":[1528177151]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":49.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":46.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":129.08,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":84.41,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.64,"providers":[{"billed_charge":220.96,"npi":[1245720820]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1689083438]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.48,"providers":[{"billed_charge":202.65,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":55.0,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":110.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":43.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":84.01,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.8,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":227.7,"providers":[{"billed_charge":290.0,"npi":[1790715126]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1689083438]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9940695","description":"Smoking and Tobacco Use Cessation Counseling Visit; Intermediate, Greater than 3 Minutes up to 10 Minutes","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":28.81,"providers":[{"billed_charge":30.0,"npi":[1689083438]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]},{"billed_charge":230.49,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"916001537"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.47,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":65.0,"npi":[]},{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.87,"providers":[{"billed_charge":548.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":32.0,"npi":[1750368700]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":81.16,"npi":[1073599478]},{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":38.06,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86665","description":"Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.42,"providers":[{"billed_charge":279.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.99,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":34.0,"npi":[1073599478]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":555.0,"npi":[1811023310]},{"billed_charge":577.0,"npi":[1811023310]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99070","description":"Supplies Provided By Physician Over & Above Those Included In The Service","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28.0,"providers":[{"billed_charge":28.0,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":468.0,"npi":[1205369873,1215699830,1386128056,1588831713]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"931331676"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":97.32,"npi":[1619538006]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"943375456"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.0,"providers":[{"billed_charge":70.0,"npi":[1376910646,1538652995]}]}]},{"tin":{"type":"ein","value":"931331676"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.59,"providers":[{"billed_charge":282.63,"npi":[1407700933,1770219537]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":94.21,"npi":[1619538006]}]},{"allowed_amount":105.06,"providers":[{"billed_charge":188.42,"npi":[1619538006]}]}]},{"tin":{"type":"ein","value":"990755704"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.53,"providers":[{"billed_charge":71.0,"npi":[1861475832]}]},{"allowed_amount":210.12,"providers":[{"billed_charge":284.0,"npi":[1861475832]}]},{"allowed_amount":157.59,"providers":[{"billed_charge":213.0,"npi":[1861475832]}]},{"allowed_amount":105.06,"providers":[{"billed_charge":142.0,"npi":[1861475832]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]},{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":10.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1083141196]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":468.0,"npi":[1801162789]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":418.0,"npi":[1083141196]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":194.78,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":54.96,"npi":[]},{"billed_charge":67.87,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":109.92,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":389.56,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":109.93,"npi":[]}]},{"allowed_amount":64.61,"providers":[{"billed_charge":389.6,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":72.5,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":65.0,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":113.04,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":195.66,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":287.94,"providers":[{"billed_charge":420.0,"npi":[1790980837]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":220.3,"providers":[{"billed_charge":335.0,"npi":[1659896785]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":834.96,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":103.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":208.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":424.2,"npi":[1770996720]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":37.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":89.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":31.04,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":46.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":389.56,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":194.78,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]},{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":13.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":41.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":34.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":59.53,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87427","description":"Shiga-like toxin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":96.29,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":57.14,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":426.0,"npi":[1871613802]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.08,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.2,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.8,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1043531999]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":349.99,"providers":[{"billed_charge":349.99,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":286.0,"npi":[1609872753]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1063779569,1609872753]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":379.01,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":44.03,"npi":[1073599478]},{"billed_charge":89.25,"npi":[]},{"billed_charge":100.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":108.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":94.44,"npi":[]},{"billed_charge":128.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[]},{"billed_charge":45.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":31.04,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":113.69,"npi":[]},{"billed_charge":44.7,"npi":[1073599478]},{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":250.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":44.39,"npi":[]},{"billed_charge":53.45,"npi":[1073599478]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":75.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86334","description":"Immunofixation Electrophoresis","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.55,"providers":[{"billed_charge":84.84,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":91.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":38.81,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":154.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":247.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"262343447"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":250.0,"npi":[1598538241]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":198.49,"npi":[1073599478]},{"billed_charge":131.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":39.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":72.14,"npi":[]},{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":65.95,"npi":[]},{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]},{"billed_charge":131.9,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":505.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":85.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":96.44,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":102.9,"npi":[]},{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":203.34,"npi":[1346498755]}]}]}]},{"name":"DME ostomy supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4425","description":"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":53.0,"providers":[{"billed_charge":330.22,"npi":[1609858729]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":201.42,"npi":[1073599478]},{"billed_charge":85.05,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":55.71,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":94.36,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":136.33,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":89.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":120.0,"npi":[1538144910]},{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":64.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":124.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":234.01,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":234.02,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]},{"billed_charge":127.11,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":29.72,"npi":[]},{"billed_charge":19.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":71.34,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":134.56,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":48.48,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":317.87,"providers":[{"billed_charge":471.9,"npi":[1760876361]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":451.94,"providers":[{"billed_charge":507.0,"npi":[1376075259]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":317.87,"providers":[{"billed_charge":570.57,"npi":[1164966883]}]},{"allowed_amount":270.19,"providers":[{"billed_charge":471.9,"npi":[1073068714,1568294411]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.1,"providers":[{"billed_charge":38.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83935","description":"Osmolality; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.1,"providers":[{"billed_charge":78.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":153.99,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":61.0,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":122.0,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":427.0,"providers":[{"billed_charge":427.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":482.97,"providers":[{"billed_charge":495.04,"npi":[1104323120]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":198.0,"providers":[{"billed_charge":198.0,"npi":[1942298161]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]},{"billed_charge":1050.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":169.99,"providers":[{"billed_charge":169.99,"npi":[]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1487362489]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]},{"billed_charge":87.57,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":286.0,"npi":[1619747557]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1952514341]}]}]},{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":737.0,"npi":[1942812219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":15.23,"npi":[1073599478]},{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]},{"billed_charge":20.52,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.71,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":109.52,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":271.77,"providers":[{"billed_charge":302.0,"npi":[1912195751]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":131.65,"npi":[1073599478]},{"billed_charge":193.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":108.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":111.37,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":210.0,"npi":[]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":29.72,"npi":[]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1043531999]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":70.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1528039484]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":14.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86334","description":"Immunofixation Electrophoresis","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.55,"providers":[{"billed_charge":112.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":34.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87328","description":"Crytosporidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":163.8,"npi":[1073599478]},{"billed_charge":143.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":9.11,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":21.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":72.98,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":49.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":49.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":35.95,"npi":[1073599478]},{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]},{"billed_charge":45.85,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":104.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":79.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":144.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":44.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":38.43,"npi":[1073599478]},{"billed_charge":51.28,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":143.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":164.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":118.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":137.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":40.89,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]},{"billed_charge":40.89,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":127.02,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":122.85,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1310.46,"npi":[1609858729]}]},{"allowed_amount":605.55,"providers":[{"billed_charge":1310.46,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":142.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":67.88,"npi":[]}]}]}]},{"name":"Mental professional child IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":626.0,"npi":[1578966362]}]}]}]},{"name":"Mental professional child IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1578966362]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1447755699]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":72.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":38.12,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":243.6,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":33.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":49.57,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":22.79,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83013","description":"H. Pylori; Analysis For Urease Activity, Non-Radioactive Isotope","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.0,"providers":[{"billed_charge":340.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86665","description":"Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.42,"providers":[{"billed_charge":279.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81546","description":"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious)","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3600.0,"providers":[{"billed_charge":6400.0,"npi":[1134438427]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":30.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":228.0,"npi":[]}]}]}]},{"name":"Transplant hospital visit IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":199.89,"providers":[{"billed_charge":259.6,"npi":[1033748561,1063450179,1093942922,1134551385,1255742284,1487216263,1710062526,1811278971]}]}]}]},{"name":"Transplant lab IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":20.33,"providers":[{"billed_charge":26.4,"npi":[1073637732,1295112241,1669792032,1760597488,1801433024]}]}]}]},{"name":"Transplant room and board IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99291","description":"Critical Care, Evaluation & Management; First 30-74 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":538.69,"providers":[{"billed_charge":699.6,"npi":[1043592454]}]}]}]},{"name":"Transplant xray OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":22.02,"providers":[{"billed_charge":28.6,"npi":[1083822068,1669736500,1720284573]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1548520299]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":24.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":9.76,"npi":[1073599478]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":707.5,"providers":[{"billed_charge":1415.0,"npi":[1073755484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1457915977]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":53.63,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":91.43,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":91.8,"npi":[1538144910]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":60.0,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":133.52,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.04,"providers":[{"billed_charge":562.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.26,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]},{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":15.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":140.84,"providers":[{"billed_charge":244.0,"npi":[1659574127]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930798039"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":123.28,"providers":[{"billed_charge":336.0,"npi":[1669586822]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":426.0,"npi":[1003443391]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82024","description":"Assay Of Adrenocorticotropic Hormone (Acth)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.46,"providers":[{"billed_charge":279.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":14.08,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":111.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":101.82,"npi":[]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":54.0,"npi":[]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":88.26,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":19.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":189.0,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":150.82,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":65.1,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"455412849"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":210.0,"npi":[1518935618]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[1285014282]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":68.43,"npi":[]},{"billed_charge":117.52,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":96.34,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":218.11,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":177.65,"providers":[{"billed_charge":437.0,"npi":[1104475243]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":110.97,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":83.43,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":84.57,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":34.0,"npi":[1225473465]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":232.65,"providers":[{"billed_charge":345.0,"npi":[1770554859]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]},{"billed_charge":43.65,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":89.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":128.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":109.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]},{"billed_charge":119.7,"npi":[]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1033435094]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.0,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.74,"providers":[{"billed_charge":428.27,"npi":[1609858729]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":120.0,"npi":[1538144910]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2400.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":72.17,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7126026","description":"Computed tomography, thorax, diagnostic; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":228.53,"providers":[{"billed_charge":502.0,"npi":[1477870087]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":89.48,"providers":[{"billed_charge":876.0,"npi":[1477870087]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":45.73,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.63,"providers":[{"billed_charge":61.75,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86665","description":"Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.42,"providers":[{"billed_charge":279.15,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":72.33,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"261551428"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":76.0,"npi":[1679648612]},{"billed_charge":67.25,"npi":[1679648612]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9894359","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.05,"providers":[{"billed_charge":55.0,"npi":[1184128845,1992023766]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":46.36,"npi":[]},{"billed_charge":49.57,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":21.32,"npi":[]},{"billed_charge":22.79,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80366","description":"Pregabalin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.34,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":115.0,"providers":[{"billed_charge":115.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":53.55,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":24.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":31.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1386002038,1659145548,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]},{"billed_charge":116.4,"npi":[1538144910]}]},{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.8,"providers":[{"billed_charge":39.0,"npi":[1144937442]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[]},{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1144937442,1659145548,1891492773]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"540042746"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":165.0,"npi":[1376733600]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":294.38,"npi":[1801174222]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":298.0,"npi":[1659145548]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1659145548]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1386002038,1891492773]},{"billed_charge":418.0,"npi":[1144937442,1285324756,1386002038,1659145548,1962689695]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9714059","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"205983649"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.32,"providers":[{"billed_charge":142.62,"npi":[1336400969,1730513102]}]}]},{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":168.75,"npi":[1992023766]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":67.0,"npi":[1780327106]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.53,"providers":[{"billed_charge":71.0,"npi":[1780327106]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]},{"allowed_amount":133.16,"providers":[{"billed_charge":408.0,"npi":[1467433292]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"800548034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.05,"providers":[{"billed_charge":55.0,"npi":[1104959360]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":113.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.98,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":185.67,"providers":[{"billed_charge":190.31,"npi":[1700199627]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]},{"allowed_amount":543.64,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"833313678"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1275095101,1740821081]}]}]},{"tin":{"type":"ein","value":"392960395"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1801483193]}]}]},{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":55.0,"npi":[1407948169]}]}]},{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]},{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"811066040"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1164524658]}]}]},{"tin":{"type":"ein","value":"820482621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1518986264]}]}]},{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]},{"tin":{"type":"ein","value":"823356956"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1437658499]}]}]},{"tin":{"type":"ein","value":"461704056"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":74.95,"npi":[1992006035]}]}]},{"tin":{"type":"ein","value":"911113645"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.93,"providers":[{"billed_charge":55.0,"npi":[1407936586]}]},{"allowed_amount":46.96,"providers":[{"billed_charge":55.0,"npi":[1407936586]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9894359","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"911113645"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.39,"providers":[{"billed_charge":40.0,"npi":[1407936586]}]},{"allowed_amount":24.25,"providers":[{"billed_charge":40.0,"npi":[1407936586]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230KX","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":291.9,"providers":[{"billed_charge":510.0,"npi":[1255330825]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":712.32,"npi":[1356334577]},{"billed_charge":821.88,"npi":[1356334577]}]},{"allowed_amount":73.4,"providers":[{"billed_charge":273.96,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":25.09,"npi":[1356334577]}]},{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]},{"allowed_amount":41.4,"providers":[{"billed_charge":225.81,"npi":[1356334577]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908LT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80355","description":"Gabapentin, non-blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80366","description":"Pregabalin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":27.47,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.76,"providers":[{"billed_charge":32.0,"npi":[1154959534]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9213426","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.33,"providers":[{"billed_charge":89.1,"npi":[1235556143]}]},{"allowed_amount":63.75,"providers":[{"billed_charge":89.1,"npi":[1235556143]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7055126","description":"MRI, brain (including brain stem); without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":207.13,"providers":[{"billed_charge":409.3,"npi":[1033613880]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":217.9,"npi":[1073599478]},{"billed_charge":355.95,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":280.0,"providers":[{"billed_charge":1569.2,"npi":[1386674067]}]},{"allowed_amount":70.0,"providers":[{"billed_charge":392.3,"npi":[1386674067]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99222","description":"Int. hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or EX and moderate level of medical decision making. Total time, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":346.54,"providers":[{"billed_charge":355.2,"npi":[1144615691]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":394.71,"providers":[{"billed_charge":521.38,"npi":[1750502928,1992202410]},{"billed_charge":629.88,"npi":[1497142301]}]},{"allowed_amount":432.36,"providers":[{"billed_charge":521.38,"npi":[1235826371]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9923324","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":321.16,"providers":[{"billed_charge":321.16,"npi":[1548612559,1821697681]}]},{"allowed_amount":268.46,"providers":[{"billed_charge":268.46,"npi":[1528505138,1548612559,1821697681]}]},{"allowed_amount":229.47,"providers":[{"billed_charge":268.46,"npi":[1093326365,1528505138,1548612559,1578347928,1821697681]},{"billed_charge":321.16,"npi":[1528505138,1821697681]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":267.88,"providers":[{"billed_charge":274.58,"npi":[1891430658]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.88,"providers":[{"billed_charge":46.2,"npi":[]},{"billed_charge":39.9,"npi":[]}]},{"allowed_amount":2.93,"providers":[{"billed_charge":34.65,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":37.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":37.3,"npi":[]}]},{"allowed_amount":5.55,"providers":[{"billed_charge":37.3,"npi":[]},{"billed_charge":36.81,"npi":[]},{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.95,"npi":[]},{"billed_charge":171.38,"npi":[]},{"billed_charge":170.14,"npi":[]}]},{"allowed_amount":25.17,"providers":[{"billed_charge":171.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.64,"providers":[{"billed_charge":6.9,"npi":[]}]},{"allowed_amount":4.71,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":103.12,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[]}]},{"allowed_amount":13.79,"providers":[{"billed_charge":46.35,"npi":[1073599478]},{"billed_charge":110.03,"npi":[1073599478]},{"billed_charge":127.44,"npi":[1073599478]},{"billed_charge":111.3,"npi":[1073599478]},{"billed_charge":126.01,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":100.58,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":106.05,"npi":[1073599478]},{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":94.3,"npi":[1538144910]}]},{"allowed_amount":8.42,"providers":[{"billed_charge":91.57,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":301.11,"npi":[]}]},{"allowed_amount":25.26,"providers":[{"billed_charge":219.18,"npi":[]}]},{"allowed_amount":8.54,"providers":[{"billed_charge":99.83,"npi":[]},{"billed_charge":98.4,"npi":[1073599478]},{"billed_charge":99.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":43.05,"npi":[]},{"billed_charge":31.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.37,"providers":[{"billed_charge":149.0,"npi":[1245494517]}]},{"allowed_amount":11.49,"providers":[{"billed_charge":159.43,"npi":[1245494517]}]},{"allowed_amount":22.74,"providers":[{"billed_charge":298.0,"npi":[1245494517]}]},{"allowed_amount":22.98,"providers":[{"billed_charge":318.86,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.35,"providers":[{"billed_charge":113.25,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":46.5,"npi":[]}]},{"allowed_amount":5.96,"providers":[{"billed_charge":47.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":84.41,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.58,"providers":[{"billed_charge":6.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":43.05,"npi":[]}]},{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]},{"billed_charge":19.73,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614859","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.75,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]},{"allowed_amount":16.58,"providers":[{"billed_charge":80.35,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":113.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.32,"providers":[{"billed_charge":73.51,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":88.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":99.06,"providers":[{"billed_charge":692.9,"npi":[]}]},{"allowed_amount":113.82,"providers":[{"billed_charge":1332.0,"npi":[]}]},{"allowed_amount":115.57,"providers":[{"billed_charge":1188.34,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":123.12,"npi":[1073599478]},{"billed_charge":124.95,"npi":[1073599478]}]},{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]},{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.64,"providers":[{"billed_charge":220.96,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":128.64,"providers":[{"billed_charge":192.44,"npi":[1619618469]}]},{"allowed_amount":131.69,"providers":[{"billed_charge":192.44,"npi":[1245198084]}]},{"allowed_amount":127.33,"providers":[{"billed_charge":192.44,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":128.29,"npi":[1689639544]},{"billed_charge":256.58,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]},{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.45,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]},{"allowed_amount":35.24,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":387.75,"providers":[{"billed_charge":579.04,"npi":[1619618469]}]},{"allowed_amount":458.25,"providers":[{"billed_charge":684.32,"npi":[1619618469]}]},{"allowed_amount":397.43,"providers":[{"billed_charge":579.04,"npi":[1245198084]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]},{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":264.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.22,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]},{"allowed_amount":38.61,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":12.0,"npi":[1043261803,1265207534,1497715866]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1053605717,1154818326,1386636249,1497721211]}]}]},{"tin":{"type":"ein","value":"870286381"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.17,"providers":[{"billed_charge":9.1,"npi":[1528140878]}]},{"allowed_amount":5.25,"providers":[{"billed_charge":9.1,"npi":[1700875333,1740707181]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.52,"providers":[{"billed_charge":18.0,"npi":[1164188587,1427328731,1598511255]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036QW","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.91,"providers":[{"billed_charge":23.0,"npi":[1053605717,1497721211]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":68.86,"providers":[{"billed_charge":109.18,"npi":[1386067478,1891925723]}]},{"allowed_amount":67.51,"providers":[{"billed_charge":100.81,"npi":[1245264399,1386067478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":98.7,"npi":[1073599478]},{"billed_charge":30.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":154.9,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":131.65,"npi":[1073599478]}]},{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":43.52,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":259.83,"providers":[{"billed_charge":490.0,"npi":[1164267753]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":257.8,"providers":[{"billed_charge":360.0,"npi":[1033001326,1033895065]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":366.98,"providers":[{"billed_charge":571.0,"npi":[1538791447]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":431.74,"providers":[{"billed_charge":571.0,"npi":[1861757346]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":229.22,"providers":[{"billed_charge":408.0,"npi":[1871962217]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":264.38,"providers":[{"billed_charge":411.0,"npi":[1609845775]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":417.7,"providers":[{"billed_charge":417.7,"npi":[1407977242]}]},{"allowed_amount":407.51,"providers":[{"billed_charge":417.7,"npi":[1275695546,1861819112]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":562.19,"providers":[{"billed_charge":562.19,"npi":[1841427978]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":240.39,"providers":[{"billed_charge":376.18,"npi":[1548729734]},{"billed_charge":407.4,"npi":[1316696966]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":94.32,"providers":[{"billed_charge":165.45,"npi":[1154323392]}]},{"allowed_amount":80.18,"providers":[{"billed_charge":165.45,"npi":[1033849252]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":165.45,"npi":[1316696966]}]},{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1417967902]}]},{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1023150851]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1275695546,1568858694,1669766184]}]},{"allowed_amount":184.61,"providers":[{"billed_charge":275.1,"npi":[1023403748]}]},{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1033522107,1821640665]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1538368360,1639134943,1699296491]}]},{"allowed_amount":170.91,"providers":[{"billed_charge":350.0,"npi":[1164267753]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":145.41,"providers":[{"billed_charge":243.96,"npi":[1831501717]},{"billed_charge":264.21,"npi":[1831501717]}]},{"allowed_amount":130.87,"providers":[{"billed_charge":264.21,"npi":[1952715609]}]}]},{"tin":{"type":"ein","value":"320260988"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":122.56,"providers":[{"billed_charge":485.0,"npi":[1881055291]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":318.6,"providers":[{"billed_charge":354.0,"npi":[1689632697]}]}]},{"tin":{"type":"ein","value":"911019392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":124.87,"providers":[{"billed_charge":231.0,"npi":[1225420847]}]},{"allowed_amount":146.9,"providers":[{"billed_charge":231.0,"npi":[1518693548,1801241336]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":254.63,"providers":[{"billed_charge":391.0,"npi":[1053605717,1386636249,1497721211,1518283845,1801215496,1861734394]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":173.69,"providers":[{"billed_charge":313.0,"npi":[1730389701]}]}]},{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":211.6,"providers":[{"billed_charge":275.1,"npi":[1558660795]}]},{"allowed_amount":192.58,"providers":[{"billed_charge":275.1,"npi":[1255368148,1962829374]}]},{"allowed_amount":163.69,"providers":[{"billed_charge":275.1,"npi":[1063256659,1174270961,1184184863,1528589579,1710360078,1912207895]}]},{"allowed_amount":179.86,"providers":[{"billed_charge":275.1,"npi":[1952392250]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1184862641,1265981450,1497170005,1861204174]}]},{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1184006389,1427459759,1811275944]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":131.11,"providers":[{"billed_charge":226.0,"npi":[1164188587,1245533587,1427328731]}]},{"allowed_amount":154.25,"providers":[{"billed_charge":226.0,"npi":[1710044656]}]}]},{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":227.7,"providers":[{"billed_charge":290.0,"npi":[1790715126]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":333.71,"providers":[{"billed_charge":333.71,"npi":[1881223931]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":148.86,"providers":[{"billed_charge":275.0,"npi":[1194792473,1770733560]}]},{"allowed_amount":198.46,"providers":[{"billed_charge":275.0,"npi":[1144335332,1164620522,1497715866,1538214184,1740231455]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":263.2,"npi":[1992216618]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":173.69,"providers":[{"billed_charge":313.0,"npi":[1023150851,1154600922,1295707677,1326068974,1669714341]}]},{"allowed_amount":170.28,"providers":[{"billed_charge":315.0,"npi":[1194163782,1295707677,1972559557]}]},{"allowed_amount":159.69,"providers":[{"billed_charge":315.0,"npi":[1326364175]}]},{"allowed_amount":147.64,"providers":[{"billed_charge":313.0,"npi":[1770015018]}]},{"allowed_amount":198.46,"providers":[{"billed_charge":264.21,"npi":[1528670585]},{"billed_charge":243.96,"npi":[1528670585]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":279.08,"providers":[{"billed_charge":370.19,"npi":[1881958189]}]},{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1447514120,1801163464]}]},{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1275710865]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":57.81,"providers":[{"billed_charge":68.01,"npi":[1235624685]}]},{"allowed_amount":98.27,"providers":[{"billed_charge":136.02,"npi":[1902379290]}]},{"allowed_amount":49.14,"providers":[{"billed_charge":68.01,"npi":[1669875886]}]},{"allowed_amount":115.62,"providers":[{"billed_charge":136.02,"npi":[1902888126]}]},{"allowed_amount":173.43,"providers":[{"billed_charge":204.03,"npi":[1184802035,1235624685,1255656120]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":76.22,"providers":[{"billed_charge":86.62,"npi":[1912387598]}]},{"allowed_amount":146.3,"providers":[{"billed_charge":173.24,"npi":[1346248465]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1235624685,1295415685,1376773556,1447514120,1568858694,1821640665]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1184802035,1235624685,1255656120,1568858694,1669766184,1669875886,1699076224,1902379290,1902888126]}]}]},{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.37,"providers":[{"billed_charge":53.9,"npi":[1558660795]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1912207895,1962829374]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1841427978]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":40.0,"npi":[1194163782,1295707677]},{"billed_charge":39.0,"npi":[1023150851,1154600922,1295707677,1326068974,1851977862]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":39.0,"npi":[1730389701]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1457685919,1740504547,1881223931]},{"billed_charge":56.16,"npi":[1346248465]}]},{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1912387598]}]}]},{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":45.0,"npi":[1790715126]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1144263419,1699200733]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1215450986,1275710865,1346610466,1386987865,1447514120,1609526607,1801163464,1942444609]}]},{"allowed_amount":40.43,"providers":[{"billed_charge":53.9,"npi":[1881958189]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1740504547,1740642578]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1235556143]}]},{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1235556143]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1235556143]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"870574059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.95,"providers":[{"billed_charge":71.0,"npi":[1083475586]}]},{"allowed_amount":33.93,"providers":[{"billed_charge":71.0,"npi":[1447740105]}]},{"allowed_amount":25.79,"providers":[{"billed_charge":71.0,"npi":[1083475586]}]},{"allowed_amount":21.21,"providers":[{"billed_charge":71.0,"npi":[1083475586]}]},{"allowed_amount":25.7,"providers":[{"billed_charge":71.0,"npi":[1083475586,1447740105]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"870659452"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":83.09,"providers":[{"billed_charge":120.0,"npi":[1447360581]}]},{"allowed_amount":73.14,"providers":[{"billed_charge":120.0,"npi":[1447360581]}]}]},{"tin":{"type":"ein","value":"471126252"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.79,"providers":[{"billed_charge":94.21,"npi":[1780306423,1790664746]}]},{"allowed_amount":33.55,"providers":[{"billed_charge":188.42,"npi":[1023786175,1437866035,1780306423,1790664746]}]},{"allowed_amount":15.76,"providers":[{"billed_charge":94.21,"npi":[1780306423]}]}]},{"tin":{"type":"ein","value":"870574059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.73,"providers":[{"billed_charge":76.0,"npi":[1083475586]}]},{"allowed_amount":35.36,"providers":[{"billed_charge":76.0,"npi":[1447740105]}]},{"allowed_amount":25.26,"providers":[{"billed_charge":76.0,"npi":[1083475586]}]},{"allowed_amount":29.18,"providers":[{"billed_charge":76.0,"npi":[1083475586]}]},{"allowed_amount":34.33,"providers":[{"billed_charge":76.0,"npi":[1447740105]}]},{"allowed_amount":24.38,"providers":[{"billed_charge":76.0,"npi":[1083475586,1447740105]}]},{"allowed_amount":25.11,"providers":[{"billed_charge":76.0,"npi":[1083475586]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":559.76,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]},{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":18.75,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":10.0,"npi":[]},{"billed_charge":20.0,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1700178290]}]}]},{"tin":{"type":"ein","value":"870286381"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.17,"providers":[{"billed_charge":9.1,"npi":[1245895663]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1285014282]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":19.07,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":59.06,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":69.3,"npi":[1538144910]},{"billed_charge":77.7,"npi":[1285014282]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]},{"allowed_amount":8.67,"providers":[{"billed_charge":77.7,"npi":[]},{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[]},{"billed_charge":43.95,"npi":[1073599478]},{"billed_charge":143.23,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":95.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":99.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.72,"providers":[{"billed_charge":258.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[]}]},{"allowed_amount":21.84,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.84,"providers":[{"billed_charge":6.84,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.96,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036QW","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.91,"providers":[{"billed_charge":23.0,"npi":[1154818326]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":96.34,"npi":[]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":133.35,"npi":[1285014282]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":52.0,"npi":[]}]},{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80357","description":"Ketamine and norketamine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.64,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":187.76,"npi":[]}]},{"allowed_amount":58.25,"providers":[{"billed_charge":214.2,"npi":[]}]}]},{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]}]},{"tin":{"type":"ein","value":"541882269"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":43.5,"providers":[{"billed_charge":345.0,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"272931022"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.21,"providers":[{"billed_charge":290.0,"npi":[1093993263]}]}]},{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.76,"providers":[{"billed_charge":452.0,"npi":[1871630350]}]}]},{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":201.15,"npi":[1346498755]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":79.67,"providers":[{"billed_charge":186.9,"npi":[]}]},{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168,1558466177]}]},{"allowed_amount":173.16,"providers":[{"billed_charge":239.58,"npi":[1043411168,1083973002,1558466177]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1811082993]}]}]},{"tin":{"type":"ein","value":"922959598"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":76.12,"providers":[{"billed_charge":150.0,"npi":[1316216369]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870326048"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":129.16,"providers":[{"billed_charge":620.0,"npi":[1619395647]}]},{"allowed_amount":32.29,"providers":[{"billed_charge":155.0,"npi":[1548240468,1619395647]}]}]},{"tin":{"type":"ein","value":"870326048"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":32.29,"providers":[{"billed_charge":155.0,"npi":[1437353158]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":135.36,"providers":[{"billed_charge":135.36,"npi":[1639315070]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":329.6,"providers":[{"billed_charge":337.86,"npi":[1578852661]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8836059","description":"Morphometric Analysis, Tumor Immunohistochemistry, Quantitative Or Semiquantitative, Ea Antibody; Manual","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":106.58,"providers":[{"billed_charge":200.0,"npi":[1740733708]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":188.23,"providers":[{"billed_charge":324.53,"npi":[1992895510]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":45.0,"npi":[1184127797,1538854138,1548213457,1851473961,1861029159]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":41.0,"npi":[1710446810,1992097612]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1063795789,1124029939,1174284871,1184127797,1245960467,1265820229,1801142146,1841924990]}]},{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1548213457]}]},{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1053180976,1588494959,1861029159]}]}]},{"tin":{"type":"ein","value":"820516012"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":185.0,"npi":[1184307621]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":164.13,"providers":[{"billed_charge":311.0,"npi":[1720430796,1912443128]}]}]},{"tin":{"type":"ein","value":"471026878"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":190.0,"npi":[1114600129,1922986744]}]}]},{"tin":{"type":"ein","value":"870217280"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":60.27,"providers":[{"billed_charge":129.0,"npi":[1043868474]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":179.47,"providers":[{"billed_charge":279.0,"npi":[1003263542]},{"billed_charge":315.0,"npi":[1174239917,1366951261]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":99.49,"providers":[{"billed_charge":222.0,"npi":[1336662519]}]},{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1992097612]}]}]}]},{"name":"Xray office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.83,"providers":[{"billed_charge":24.83,"npi":[1417480732]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82397","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.09,"providers":[{"billed_charge":107.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614859","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.75,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.49,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1952412397]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1568547255]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":56.16,"npi":[1952412397]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1568547255]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8834226","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":96.25,"providers":[{"billed_charge":105.38,"npi":[1760635478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.38,"providers":[{"billed_charge":20.0,"npi":[1205255627]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820482621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1518986264]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"820482621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.0,"providers":[{"billed_charge":15.0,"npi":[1518986264]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92134","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina","allowed_amounts":[{"tin":{"type":"ein","value":"870525682"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":55.4,"providers":[{"billed_charge":95.0,"npi":[1265659213]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":267.19,"providers":[{"billed_charge":267.19,"npi":[1063665719,1063689750,1245429018]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":372.44,"providers":[{"billed_charge":372.44,"npi":[1245429018,1578518155]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":384.0,"npi":[1467562413]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":89.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8239759","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.9,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]},{"allowed_amount":31.06,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]},{"allowed_amount":28.18,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[]},{"billed_charge":89.25,"npi":[]}]},{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86036","description":"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":64.47,"npi":[1245494517]}]},{"allowed_amount":12.56,"providers":[{"billed_charge":64.47,"npi":[1245494517]}]},{"allowed_amount":12.43,"providers":[{"billed_charge":60.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":50.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.52,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]},{"allowed_amount":55.99,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]},{"allowed_amount":52.5,"providers":[{"billed_charge":254.5,"npi":[1245494517]}]},{"allowed_amount":53.04,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86148","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.68,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]},{"allowed_amount":16.75,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]},{"allowed_amount":16.58,"providers":[{"billed_charge":80.35,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614859","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.75,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]},{"allowed_amount":16.58,"providers":[{"billed_charge":80.35,"npi":[1245494517]}]},{"allowed_amount":17.68,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.32,"providers":[{"billed_charge":73.51,"npi":[1245494517]}]},{"allowed_amount":15.11,"providers":[{"billed_charge":73.51,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.46,"providers":[{"billed_charge":134.94,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.41,"providers":[{"billed_charge":79.55,"npi":[1245494517]}]},{"allowed_amount":16.58,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]},{"allowed_amount":17.5,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":112.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8748159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"223510467"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.14,"providers":[{"billed_charge":130.0,"npi":[1750373908]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"870286381"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":9.1,"npi":[1073039970]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.7,"providers":[{"billed_charge":271.4,"npi":[1366859753]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.77,"providers":[{"billed_charge":74.0,"npi":[1831738756,1871831313]}]},{"allowed_amount":14.25,"providers":[{"billed_charge":74.0,"npi":[1871831313]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.04,"providers":[{"billed_charge":89.0,"npi":[1831738756,1871831313]}]},{"allowed_amount":22.13,"providers":[{"billed_charge":89.0,"npi":[1871831313]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.22,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.57,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.04,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Surgeon OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17110","description":"Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions","allowed_amounts":[{"tin":{"type":"ein","value":"743097822"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":41.84,"providers":[{"billed_charge":300.0,"npi":[1336347103]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":162.27,"providers":[{"billed_charge":297.28,"npi":[1376540955]}]},{"allowed_amount":159.09,"providers":[{"billed_charge":274.5,"npi":[1891925723]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":509.2,"providers":[{"billed_charge":536.0,"npi":[1740321397]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":55.0,"npi":[1407948169]}]}]},{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"833313678"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1275095101]}]}]},{"tin":{"type":"ein","value":"010895060"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1346297942]}]}]},{"tin":{"type":"ein","value":"811066040"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1164524658]}]}]},{"tin":{"type":"ein","value":"392960395"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1801483193]}]}]},{"tin":{"type":"ein","value":"820482621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1518986264]}]}]},{"tin":{"type":"ein","value":"823356956"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1437658499]}]}]}]},{"name":"DME CPAP rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0601RR","description":"Continuous positive airway pressure (cpap) device","allowed_amounts":[{"tin":{"type":"ein","value":"870563433"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.88,"providers":[{"billed_charge":80.88,"npi":[1891125084]},{"billed_charge":275.0,"npi":[1891125084]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230KX","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":291.9,"providers":[{"billed_charge":510.0,"npi":[1255330825]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]},{"allowed_amount":13.8,"providers":[{"billed_charge":75.27,"npi":[1356334577]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7055126","description":"MRI, brain (including brain stem); without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":211.28,"providers":[{"billed_charge":443.27,"npi":[1508905514]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":19.66,"providers":[{"billed_charge":29.09,"npi":[1891737094]}]},{"allowed_amount":24.73,"providers":[{"billed_charge":29.09,"npi":[1043296403]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":159.09,"providers":[{"billed_charge":274.5,"npi":[1104868850,1891796249]}]},{"allowed_amount":162.27,"providers":[{"billed_charge":297.28,"npi":[1528280385,1922093053]}]}]}]},{"name":"Flu shot all ages","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":36.85,"providers":[{"billed_charge":62.0,"npi":[1215688346]}]},{"allowed_amount":52.46,"providers":[{"billed_charge":62.0,"npi":[1215688346]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":46.0,"npi":[]},{"billed_charge":51.45,"npi":[1073599478]}]},{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]},{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82024","description":"Assay Of Adrenocorticotropic Hormone (Acth)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.94,"providers":[{"billed_charge":279.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.71,"providers":[{"billed_charge":3.71,"npi":[]}]},{"allowed_amount":1.64,"providers":[{"billed_charge":1.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":89.54,"npi":[]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":89.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":41.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":30.78,"npi":[]}]},{"allowed_amount":4.61,"providers":[{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":118.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]},{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":94.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":134.4,"npi":[]},{"billed_charge":129.38,"npi":[]}]},{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.78,"providers":[{"billed_charge":128.92,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.24,"providers":[{"billed_charge":61.95,"npi":[]}]},{"allowed_amount":6.34,"providers":[{"billed_charge":61.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.34,"providers":[{"billed_charge":3.67,"npi":[]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]},{"allowed_amount":19.72,"providers":[{"billed_charge":141.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":133.05,"npi":[]},{"billed_charge":110.07,"npi":[]},{"billed_charge":137.25,"npi":[]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":133.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]},{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.1,"providers":[{"billed_charge":38.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":31.18,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":110.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":53.04,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":234.02,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.49,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":136.44,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":45.88,"npi":[]},{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.33,"providers":[{"billed_charge":29.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8748159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.2,"providers":[{"billed_charge":105.28,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":34.74,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.14,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":35.43,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":194.71,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.5,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.58,"providers":[{"billed_charge":41.0,"npi":[1699161554]}]}]}]},{"name":"MRI/MRA OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7055126","description":"MRI, brain (including brain stem); without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":376.78,"providers":[{"billed_charge":443.27,"npi":[1578576773]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":53.13,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"870281028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":189.0,"npi":[1831953355]}]},{"allowed_amount":149.36,"providers":[{"billed_charge":189.0,"npi":[1801532833]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":120.83,"providers":[{"billed_charge":265.12,"npi":[1740680925]}]},{"allowed_amount":128.27,"providers":[{"billed_charge":198.0,"npi":[1376593020]}]}]},{"tin":{"type":"ein","value":"453825517"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":169.82,"providers":[{"billed_charge":240.0,"npi":[1104700046]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1033614458]}]},{"allowed_amount":171.42,"providers":[{"billed_charge":274.0,"npi":[1598081325]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":528.48,"providers":[{"billed_charge":528.48,"npi":[1710242946]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1417782558]}]},{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1831694736]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1861767048]}]},{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1033435490,1386038552]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1609193622,1790131332]}]},{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1790131332]},{"billed_charge":56.16,"npi":[1710500053,1821315268]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1417059064]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1649739459,1760561336,1841707569]},{"billed_charge":56.16,"npi":[1902163553]}]},{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1154575843,1669964334]}]}]},{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":45.0,"npi":[1780754671,1790715126]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":39.0,"npi":[1326077934,1396942785,1689451478,1700452901,1760498687]},{"billed_charge":40.0,"npi":[1538622188,1699161554,1760498687]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":39.0,"npi":[1790795102]},{"billed_charge":40.0,"npi":[1760498687,1922029495]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"274539372"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":51.0,"providers":[{"billed_charge":66.0,"npi":[1467136945]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":254.4,"npi":[]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":194.53,"npi":[]},{"billed_charge":202.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.78,"providers":[{"billed_charge":127.64,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":74.0,"npi":[]},{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.98,"providers":[{"billed_charge":35.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":146.12,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8834226","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":102.81,"providers":[{"billed_charge":105.38,"npi":[1881854107]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Transplant CT scan OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7125026","description":"Computed tomography, thorax, diagnostic; without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":142.12,"providers":[{"billed_charge":167.2,"npi":[1134892656]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":17.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.39,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4161","description":"EF ped hydrolyzed/amino acid","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":668.36,"providers":[{"billed_charge":1859.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":67.79,"providers":[{"billed_charge":444.75,"npi":[1134151699]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140359","description":"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions)","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.9,"providers":[{"billed_charge":740.8,"npi":[1598314437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":177.45,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614859","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.58,"providers":[{"billed_charge":80.35,"npi":[1245494517]}]},{"allowed_amount":16.75,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.32,"providers":[{"billed_charge":73.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.49,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]},{"allowed_amount":14.34,"providers":[{"billed_charge":72.75,"npi":[1245494517]}]},{"allowed_amount":16.01,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.24,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]},{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]},{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.74,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.79,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.22,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":36.51,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8765359","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.17,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]},{"allowed_amount":37.04,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1700240256]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":56.16,"npi":[1063672038,1710500053,1841707569]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Surgery in office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17110","description":"Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions","allowed_amounts":[{"tin":{"type":"ein","value":"743097822"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.59,"providers":[{"billed_charge":300.0,"npi":[1336347103]}]},{"allowed_amount":78.15,"providers":[{"billed_charge":300.0,"npi":[1336347103]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"330361048"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":42.37,"providers":[{"billed_charge":85.0,"npi":[1891787594]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97153","description":"Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or QHC professional, face-to-face with one patient, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"262657184"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":385.6,"providers":[{"billed_charge":1000.0,"npi":[1942851308]}]},{"allowed_amount":308.48,"providers":[{"billed_charge":800.0,"npi":[1942851308]}]},{"allowed_amount":289.2,"providers":[{"billed_charge":750.0,"npi":[1942851308]}]},{"allowed_amount":347.04,"providers":[{"billed_charge":900.0,"npi":[1942851308]}]},{"allowed_amount":154.24,"providers":[{"billed_charge":400.0,"npi":[1942851308]}]},{"allowed_amount":343.26,"providers":[{"billed_charge":900.0,"npi":[1942851308]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"271296041"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1174418487,1437208881]}]},{"allowed_amount":70.0,"providers":[{"billed_charge":70.0,"npi":[1174418487,1437208881]}]}]}]},{"name":"CT scan IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":89.48,"providers":[{"billed_charge":876.0,"npi":[1073001236]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":162.27,"providers":[{"billed_charge":297.28,"npi":[1487625869]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9894359","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"911113645"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.34,"providers":[{"billed_charge":40.0,"npi":[1407936586]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"330361048"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":42.37,"providers":[{"billed_charge":85.0,"npi":[1891787594]}]}]},{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":129.24,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":64.47,"npi":[]}]},{"allowed_amount":4.75,"providers":[{"billed_charge":64.47,"npi":[1073599478]},{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]},{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":182.7,"npi":[1073599478]}]},{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]},{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.7,"providers":[{"billed_charge":262.27,"npi":[1073599478]}]},{"allowed_amount":25.62,"providers":[{"billed_charge":39.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":31.43,"npi":[1073599478]},{"billed_charge":50.2,"npi":[1073599478]},{"billed_charge":33.17,"npi":[1073599478]}]},{"allowed_amount":6.53,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":215.6,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":21.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":116.9,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.5,"providers":[{"billed_charge":156.74,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":176.23,"npi":[]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[1073599478]},{"billed_charge":163.05,"npi":[1073599478]},{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":188.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":88.63,"npi":[1245720820]},{"billed_charge":84.41,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8452091","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":84.41,"npi":[1245720820]},{"billed_charge":88.63,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":180.25,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8748159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":193.0,"providers":[{"billed_charge":263.2,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.2,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.8,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":250.89,"providers":[{"billed_charge":385.99,"npi":[1689639544]}]},{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":387.75,"providers":[{"billed_charge":579.04,"npi":[1619618469]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Mental health lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"870286381"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.17,"providers":[{"billed_charge":9.1,"npi":[1346565561]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834GT","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":121.25,"providers":[{"billed_charge":242.5,"npi":[1174173074]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1962876508]}]}]}]},{"name":"Naturopath office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":206.66,"providers":[{"billed_charge":411.0,"npi":[1538372644]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":187.3,"npi":[1538105366]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"870281028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":198.0,"npi":[1134198419]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1629242359]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":220.3,"providers":[{"billed_charge":347.0,"npi":[1073135174]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":284.49,"providers":[{"billed_charge":381.0,"npi":[1164765632]}]},{"allowed_amount":241.81,"providers":[{"billed_charge":381.0,"npi":[1215283809]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.0,"providers":[{"billed_charge":437.0,"npi":[1154959534,1487917548]}]},{"allowed_amount":120.7,"providers":[{"billed_charge":437.0,"npi":[1780413484]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":231.23,"providers":[{"billed_charge":272.04,"npi":[1558705061]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1548271521]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":48.3,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":44.61,"npi":[1073599478]},{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":198.45,"npi":[1073599478]}]},{"allowed_amount":16.94,"providers":[{"billed_charge":198.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":150.82,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":96.35,"npi":[1073599478]}]},{"allowed_amount":15.91,"providers":[{"billed_charge":96.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":211.64,"npi":[1073599478]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":130.21,"npi":[1073599478]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":105.74,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[1063497451]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":76.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.8,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1538144910]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]},{"allowed_amount":149.74,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]},{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1811174824]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":767.08,"npi":[1356334577]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":430.0,"providers":[{"billed_charge":870.0,"npi":[1639160708]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":16.18,"providers":[{"billed_charge":51.0,"npi":[1518194687]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.63,"providers":[{"billed_charge":58.81,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1881222008]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":431.74,"providers":[{"billed_charge":571.0,"npi":[1467687673]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":264.38,"providers":[{"billed_charge":411.0,"npi":[1487116109]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"200995315"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.18,"providers":[{"billed_charge":54.0,"npi":[1679982425]}]},{"allowed_amount":63.18,"providers":[{"billed_charge":108.0,"npi":[1679982425]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":30.26,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":16.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1326104613]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1538144910,1932184322]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":62.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":32.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1326104613]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":69.3,"npi":[1932184322]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":77.7,"npi":[]}]},{"allowed_amount":10.68,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.32,"providers":[{"billed_charge":159.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.73,"providers":[{"billed_charge":2.73,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"844264189"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":112.51,"providers":[{"billed_charge":300.0,"npi":[1609321603]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":21.0,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1326104613]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":69.3,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":38.85,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":118.65,"npi":[1932184322]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7685626","description":"Echography, Pelvic (Nonobstetric), B-Scan &/Or Real Time W/Image Documentation; Complete","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":112.0,"npi":[1487729281]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930798039"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":123.28,"providers":[{"billed_charge":336.0,"npi":[1134533839,1194179804,1891997284]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"916001537"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.47,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]},{"allowed_amount":52.56,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]},{"allowed_amount":20.87,"providers":[{"billed_charge":65.0,"npi":[]},{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":79.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":31.52,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":42.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":188.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84445","description":"Thyroid Stimulating Immunoglobulins (Tsi)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.79,"providers":[{"billed_charge":330.34,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":124.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86665","description":"Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.42,"providers":[{"billed_charge":279.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":27.5,"npi":[1073599478]},{"billed_charge":51.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":111.37,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":130.21,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":129.85,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":118.66,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":38.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":74.25,"npi":[]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":91.8,"providers":[{"billed_charge":102.0,"npi":[1356325690]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.71,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":62.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":101.65,"providers":[{"billed_charge":107.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.88,"providers":[{"billed_charge":128.69,"npi":[1609812445]},{"billed_charge":135.12,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":47.59,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":44.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":167.28,"npi":[1609812445]},{"billed_charge":175.64,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":43.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":84.41,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":54.47,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":58.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":79.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":72.26,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":134.85,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.0,"providers":[{"billed_charge":120.0,"npi":[1508151663]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"481290066"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.92,"providers":[{"billed_charge":57.0,"npi":[1518412634]}]},{"allowed_amount":67.84,"providers":[{"billed_charge":114.0,"npi":[1518412634]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":131.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":46.24,"npi":[1073599478]},{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":106.6,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":184.51,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":122.85,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]},{"allowed_amount":164.5,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.25,"providers":[{"billed_charge":123.0,"npi":[1659574127]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1326104613]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[]}]},{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1326104613]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":193.09,"providers":[{"billed_charge":311.0,"npi":[1811275944]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"273298502"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.43,"providers":[{"billed_charge":90.0,"npi":[1174158430]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":345.0,"npi":[1962737528]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]},{"allowed_amount":349.3,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]},{"billed_charge":154.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":157.21,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":40.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.5,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.88,"providers":[{"billed_charge":135.12,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":101.65,"providers":[{"billed_charge":107.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]},{"billed_charge":82.81,"npi":[1073599478]},{"billed_charge":82.95,"npi":[]},{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]},{"billed_charge":47.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":117.6,"npi":[1073599478]},{"billed_charge":41.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":118.65,"npi":[]},{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.33,"providers":[{"billed_charge":95.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":74.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":30.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.4,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.68,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]},{"allowed_amount":34.86,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"263445725"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":125.96,"providers":[{"billed_charge":160.0,"npi":[1407823065]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"462646543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.41,"providers":[{"billed_charge":50.0,"npi":[1306149596]}]},{"allowed_amount":16.63,"providers":[{"billed_charge":50.0,"npi":[1306149596,1932713138]}]},{"allowed_amount":33.26,"providers":[{"billed_charge":100.0,"npi":[1306149596]}]},{"allowed_amount":16.5,"providers":[{"billed_charge":50.0,"npi":[1306149596,1508750043]}]},{"allowed_amount":33.0,"providers":[{"billed_charge":100.0,"npi":[1306149596]}]}]},{"tin":{"type":"ein","value":"810489339"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.0,"providers":[{"billed_charge":30.0,"npi":[1437207966]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":51.02,"providers":[{"billed_charge":73.0,"npi":[1447305875]}]},{"allowed_amount":104.08,"providers":[{"billed_charge":146.0,"npi":[1447305875]}]},{"allowed_amount":102.04,"providers":[{"billed_charge":146.0,"npi":[1447305875]}]}]},{"tin":{"type":"ein","value":"142008880"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.18,"providers":[{"billed_charge":114.0,"npi":[1467619114]}]},{"allowed_amount":15.3,"providers":[{"billed_charge":114.0,"npi":[1467619114]}]},{"allowed_amount":30.36,"providers":[{"billed_charge":228.0,"npi":[1467619114]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"142008880"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.62,"providers":[{"billed_charge":114.0,"npi":[1467619114]}]},{"allowed_amount":26.22,"providers":[{"billed_charge":114.0,"npi":[1467619114]}]}]},{"tin":{"type":"ein","value":"462646543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.62,"providers":[{"billed_charge":65.0,"npi":[1306149596,1508750043]}]},{"allowed_amount":47.24,"providers":[{"billed_charge":130.0,"npi":[1306149596]}]},{"allowed_amount":43.42,"providers":[{"billed_charge":65.0,"npi":[1306149596]}]},{"allowed_amount":47.35,"providers":[{"billed_charge":130.0,"npi":[1306149596,1740900422,1932713138]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":206.85,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":178.35,"npi":[1609812445]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.0,"npi":[1497933162]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":649.8,"providers":[{"billed_charge":684.0,"npi":[1619405792]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168,1174775621]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":148.86,"providers":[{"billed_charge":275.0,"npi":[1760144687]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":1494.0,"npi":[1861170482]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1286.0,"npi":[1053010876]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"202063548"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.5,"providers":[{"billed_charge":35.0,"npi":[1609949882]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.88,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":64.47,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":61.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":129.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.73,"providers":[{"billed_charge":50.0,"npi":[1659655124]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":430.43,"providers":[{"billed_charge":1200.0,"npi":[1659655124]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":65.95,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":131.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":129.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.78,"providers":[{"billed_charge":128.92,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":163.05,"npi":[]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"930593725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":39.0,"npi":[1497787485]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":256.58,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9714059","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"205983649"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.32,"providers":[{"billed_charge":142.62,"npi":[1316763048,1447849187]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831226","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":50.0,"npi":[1497167720]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"916001537"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.47,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":216.99,"providers":[{"billed_charge":216.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":46.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1487362489]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1609812445]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":163.69,"providers":[{"billed_charge":275.1,"npi":[1144777418]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Flu shot all ages","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":36.85,"providers":[{"billed_charge":62.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":115.44,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"452215107"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":343.39,"npi":[1801226543]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"452215107"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":186.42,"npi":[1801226543]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1538144910]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1538144910]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":7.77,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":201.6,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":254.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":43.52,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":18.0,"npi":[1043605280]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.84,"providers":[{"billed_charge":28.14,"npi":[1861955049]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":83.61,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":462.02,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":53.21,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":22.76,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.79,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":193.91,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":193.65,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1861029159]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":210.2,"npi":[1073599478]},{"billed_charge":89.5,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":187.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":163.17,"npi":[1073599478]},{"billed_charge":163.88,"npi":[1073599478]},{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[1073599478]},{"billed_charge":49.43,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":45.9,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":102.0,"npi":[1073599478]},{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]},{"billed_charge":70.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":188.85,"npi":[1073599478]},{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":205.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":46.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":453.6,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":29.72,"npi":[]},{"billed_charge":19.69,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":80.18,"providers":[{"billed_charge":179.18,"npi":[1740680925]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":57.81,"providers":[{"billed_charge":68.01,"npi":[1376633966]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.98,"providers":[{"billed_charge":35.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":136.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":144.9,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":343.68,"providers":[{"billed_charge":479.16,"npi":[1043411168]}]},{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"921024686"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":110.11,"providers":[{"billed_charge":165.0,"npi":[1730840810]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":39.5,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":259.35,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1457747206]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":53.36,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911866685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":316.26,"npi":[1255768800]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1457408601]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1962954115]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1508061060,1720275183]}]}]},{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1649408055]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":455.05,"providers":[{"billed_charge":479.0,"npi":[1750354411]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930623390"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1145.0,"npi":[1265990139]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1145.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.88,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":22.92,"npi":[]},{"billed_charge":17.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.54,"providers":[{"billed_charge":6.9,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.54,"providers":[{"billed_charge":6.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":34.05,"npi":[1538144910]},{"billed_charge":41.59,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":79.65,"npi":[]},{"billed_charge":78.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":31.25,"npi":[]},{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.34,"providers":[{"billed_charge":43.52,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":166.99,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":29.86,"npi":[]},{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.47,"npi":[]},{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1073590683]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":199.43,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1073590683]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.58,"providers":[{"billed_charge":6.71,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.47,"npi":[]},{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.34,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":247.62,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":467.87,"providers":[{"billed_charge":1200.0,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":348.56,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":174.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":212.16,"providers":[{"billed_charge":300.0,"npi":[1508594136]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1902986979]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":93.8,"providers":[{"billed_charge":158.0,"npi":[1194604140]}]},{"allowed_amount":46.9,"providers":[{"billed_charge":79.0,"npi":[1194604140]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":53.75,"npi":[1437768306,1609104496]}]}]},{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.29,"providers":[{"billed_charge":79.0,"npi":[1477999449]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":148.0,"npi":[1194604140]}]},{"allowed_amount":37.52,"providers":[{"billed_charge":74.0,"npi":[1194604140]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":185.0,"npi":[1811218720]}]},{"allowed_amount":75.04,"providers":[{"billed_charge":107.5,"npi":[1437768306,1609104496,1811218720]}]}]},{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.77,"providers":[{"billed_charge":74.0,"npi":[1477999449]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":130.21,"npi":[]},{"billed_charge":156.39,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":190.64,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.99,"providers":[{"billed_charge":70.0,"npi":[1417390287]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.87,"providers":[{"billed_charge":220.0,"npi":[1922452515]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1417390287,1790980837]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":53.2,"providers":[{"billed_charge":56.0,"npi":[1003259854,1104898303,1942620968]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":125.46,"npi":[1609812445]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9338","description":"Home infusion therapy, immunotherapy therapy","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":20.0,"providers":[{"billed_charge":250.0,"npi":[1396288338]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9373","description":"Home infusion therapy, hydration therapy (do not use with hydration therapy codes S9374-S9377 using daily volume scales)","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":20.0,"providers":[{"billed_charge":100.0,"npi":[1396288338]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":99.75,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.19,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":97.56,"providers":[{"billed_charge":264.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":78.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":70.0,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1497765291]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"810520405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.92,"providers":[{"billed_charge":40.0,"npi":[1669151213,1700938040]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":120.75,"npi":[]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":67.29,"providers":[{"billed_charge":230.0,"npi":[1598951303]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1215370630,1609975226]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.25,"providers":[{"billed_charge":99.0,"npi":[1811082993,1942298161]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":22.88,"providers":[{"billed_charge":28.6,"npi":[1518428812]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":455.05,"providers":[{"billed_charge":479.0,"npi":[1649477365,1689653891]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99245","description":"Office or other OP consult for new or est. patient, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":885.4,"providers":[{"billed_charge":932.0,"npi":[1215901699,1225332893]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":349.99,"providers":[{"billed_charge":349.99,"npi":[]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":207.68,"providers":[{"billed_charge":259.6,"npi":[1003445701,1790148088]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.04,"providers":[{"billed_charge":34.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":80.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":110.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.92,"providers":[{"billed_charge":85.74,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[]},{"billed_charge":39.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":16.86,"npi":[1538105366]},{"billed_charge":29.3,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577,1619934817]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.05,"providers":[{"billed_charge":79.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1619934817]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":210.2,"npi":[1538144910]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":346.38,"providers":[{"billed_charge":417.7,"npi":[1477091684]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":170.28,"providers":[{"billed_charge":315.0,"npi":[1043744931]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":261.21,"providers":[{"billed_charge":302.0,"npi":[1144301409]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":333.71,"providers":[{"billed_charge":333.71,"npi":[1154575843]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":366.83,"providers":[{"billed_charge":621.0,"npi":[1023168168]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":452.2,"providers":[{"billed_charge":476.0,"npi":[1033528377,1265400691,1427034222,1952717795]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1811100746]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":115.62,"providers":[{"billed_charge":136.02,"npi":[1700380771]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":684.0,"providers":[{"billed_charge":720.0,"npi":[1265400691]}]},{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1154767879]}]},{"allowed_amount":912.0,"providers":[{"billed_charge":960.0,"npi":[1265400691]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.73,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G6012","description":"Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev","allowed_amounts":[{"tin":{"type":"ein","value":"481253013"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":267.59,"providers":[{"billed_charge":605.0,"npi":[1427213289,1790102671]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.05,"providers":[{"billed_charge":108.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Transplant lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.0,"providers":[{"billed_charge":28.0,"npi":[1497765291]}]}]}]},{"name":"Transplant lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":281.25,"providers":[{"billed_charge":375.0,"npi":[1497765291]}]}]}]},{"name":"Transplant lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.0,"providers":[{"billed_charge":36.0,"npi":[1497765291]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":330.0,"npi":[1114798071]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":23.4,"providers":[{"billed_charge":26.0,"npi":[1770554859]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.98,"providers":[{"billed_charge":8.4,"npi":[1497734594]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":237.5,"providers":[{"billed_charge":250.0,"npi":[1962882969]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"810520405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.92,"providers":[{"billed_charge":48.0,"npi":[1700938040]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":399.98,"providers":[{"billed_charge":399.98,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME compression stockings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530NU","description":"Compression stocking BK18-30","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":429.78,"npi":[1609858729]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232KX","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.15,"providers":[{"billed_charge":247.5,"npi":[1255330825]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9213426","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":63.75,"providers":[{"billed_charge":89.1,"npi":[1497832232]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]},{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]},{"allowed_amount":25.45,"providers":[{"billed_charge":207.9,"npi":[1073599478]},{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[]}]},{"allowed_amount":25.47,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]},{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":86.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":97.66,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":88.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":213.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]},{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"472833298"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":119.53,"providers":[{"billed_charge":225.0,"npi":[1437617743]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861826692"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":124.66,"providers":[{"billed_charge":294.38,"npi":[1952128365]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1881664597]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.0,"providers":[{"billed_charge":120.0,"npi":[1528801925]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"721572349"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.06,"providers":[{"billed_charge":40.0,"npi":[1437791084,1831549534]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]},{"billed_charge":119.7,"npi":[1073599478]},{"billed_charge":120.75,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":106.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":108.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":106.6,"npi":[]}]},{"allowed_amount":8.32,"providers":[{"billed_charge":106.6,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":184.51,"npi":[]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":184.51,"npi":[]},{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":200.29,"npi":[]}]},{"allowed_amount":15.47,"providers":[{"billed_charge":254.1,"npi":[1073599478]},{"billed_charge":257.25,"npi":[]},{"billed_charge":200.29,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":128.1,"npi":[1073599478]},{"billed_charge":98.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":113.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.1,"npi":[]},{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1780820050]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":71.86,"npi":[1891731626]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":64.74,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1558466177]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1083078521]}]}]}]},{"name":"DME ostomy supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4425","description":"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":26.0,"providers":[{"billed_charge":107.07,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.22,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":88.46,"providers":[{"billed_charge":176.92,"npi":[1013421072]}]}]}]},{"name":"Transplant CT scan OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7125026","description":"Computed tomography, thorax, diagnostic; without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":128.74,"providers":[{"billed_charge":167.2,"npi":[1669736500]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.16,"providers":[{"billed_charge":52.0,"npi":[1831304526]}]}]},{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351691","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.37,"providers":[{"billed_charge":57.65,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86146","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.85,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.5,"providers":[{"billed_charge":254.5,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.17,"providers":[{"billed_charge":68.7,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.34,"providers":[{"billed_charge":72.75,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.22,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1861452542]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1114371416]}]},{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1447514120]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1114371416,1730793852]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1154769453,1275710865,1447514120,1730793852]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1150.0,"npi":[1346479169]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82248","description":"Bilirubin; Direct","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":6.4,"npi":[1073599478]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.72,"providers":[{"billed_charge":258.3,"npi":[1073599478]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":99.75,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":131.73,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":103.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":77.43,"npi":[1073599478]},{"billed_charge":138.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":164.63,"npi":[1073599478]},{"billed_charge":208.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":70.55,"npi":[1073599478]},{"billed_charge":77.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":113.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":86.1,"npi":[1073599478]},{"billed_charge":100.96,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"721572349"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.61,"providers":[{"billed_charge":40.0,"npi":[1437791084]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"721572349"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.24,"providers":[{"billed_charge":40.0,"npi":[1437791084]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":57.16,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":2988.1,"npi":[1063011898]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.82,"providers":[{"billed_charge":71.0,"npi":[1619980745]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":170.16,"providers":[{"billed_charge":190.31,"npi":[1700199627]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82653","description":"Elastase, pancreatic (EL-1), fecal; quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.9,"providers":[{"billed_charge":250.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.2,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":241.8,"providers":[{"billed_charge":1200.0,"npi":[1508594136]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":417.7,"providers":[{"billed_charge":417.7,"npi":[1770018277]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":216.16,"providers":[{"billed_charge":319.0,"npi":[1225353303]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":198.46,"providers":[{"billed_charge":275.0,"npi":[1205272986]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":72.45,"npi":[1215914288]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":21.02,"providers":[{"billed_charge":23.09,"npi":[1659538627]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":360.52,"npi":[1487646360]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1467414581]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":274.55,"providers":[{"billed_charge":398.0,"npi":[1558781211]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":254.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":20.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[1073599478]},{"billed_charge":34.05,"npi":[1073599478]},{"billed_charge":36.67,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]},{"billed_charge":94.2,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":44.1,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":137.55,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":95.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":54.45,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":61.98,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":22.93,"npi":[1073599478]},{"billed_charge":19.69,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":155.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":285.17,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":87.6,"npi":[1073599478]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"830230892"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":15.0,"npi":[1447364245,1992865273]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1235833104]}]}]},{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":271.26,"providers":[{"billed_charge":621.0,"npi":[1659678829]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.71,"providers":[{"billed_charge":3.71,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":33.5,"npi":[1164734000]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":64.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Occupational therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GO","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"044563899"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":180.0,"providers":[{"billed_charge":180.0,"npi":[1588222590]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1205139763]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[1437135886]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1050.0,"npi":[1346479169]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1279.02,"npi":[1609858729]}]}]},{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":767.08,"npi":[1356334577]},{"billed_charge":712.32,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1548849656]}]}]},{"tin":{"type":"ein","value":"930623390"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1145.0,"npi":[1265990139]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]},{"billed_charge":230.49,"npi":[]}]},{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":65.0,"npi":[]},{"billed_charge":84.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"916001537"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.56,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":260.16,"npi":[1073599478]},{"billed_charge":131.65,"npi":[1073599478]},{"billed_charge":254.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":90.9,"providers":[{"billed_charge":101.0,"npi":[1497765291]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":112.86,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1073590683]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":4.28,"npi":[]}]}]},{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.44,"providers":[{"billed_charge":88.16,"npi":[1245720820]},{"billed_charge":83.96,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":61.39,"npi":[1073599478]},{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":45.17,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":123.36,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.32,"providers":[{"billed_charge":143.42,"npi":[1245720820]},{"billed_charge":150.59,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.46,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":48.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":99.96,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.35,"providers":[{"billed_charge":118.91,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":130.76,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":77.16,"npi":[1073599478]},{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":121.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":88.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":41.67,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.65,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":102.75,"npi":[]}]},{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1083280374,1538763263,1790335735]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]},{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":535.0,"npi":[1366059347,1508589607]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":305.68,"providers":[{"billed_charge":490.0,"npi":[1952572174]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":317.74,"providers":[{"billed_charge":571.0,"npi":[1689985822]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":142.54,"providers":[{"billed_charge":228.0,"npi":[1033265657]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"911866685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":293.67,"npi":[1073813424]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":116.21,"providers":[{"billed_charge":290.0,"npi":[1295189066]}]},{"allowed_amount":136.72,"providers":[{"billed_charge":290.0,"npi":[1639327364]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.54,"providers":[{"billed_charge":228.0,"npi":[1033265657,1174273155,1295235281,1447415773]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":185.5,"npi":[1467194787]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9714059","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"205983649"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.32,"providers":[{"billed_charge":142.62,"npi":[1316763048]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1629727219]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1629727219]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1629727219]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1629727219]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1629727219]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7738726","description":"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":40.51,"providers":[{"billed_charge":55.0,"npi":[1801152160]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831226","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":50.0,"npi":[1053686964]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]},{"tin":{"type":"ein","value":"200277709"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":193.0,"providers":[{"billed_charge":534.0,"npi":[1790462687]}]}]},{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":236.6,"providers":[{"billed_charge":338.0,"npi":[1457395154]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":95.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"824794684"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":299.51,"npi":[1205656592]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"271361149"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":80.0,"npi":[1174482210]}]}]},{"tin":{"type":"ein","value":"810489339"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":49.5,"npi":[1437207966]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":767.08,"npi":[1356334577]}]}]},{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1260.06,"npi":[1609858729]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":429.87,"npi":[1609858729]},{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99479","description":"Subsequent Intensive Care, Per Day, Recovering Low Birth Weight Infant (Present Body Weight of 1500-2500 Grams)","allowed_amounts":[{"tin":{"type":"ein","value":"880367250"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":621.84,"providers":[{"billed_charge":1309.0,"npi":[1063064764,1104312180,1134185382,1134581564,1215053582,1508351222,1629377098]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]},{"allowed_amount":12.74,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]},{"billed_charge":220.51,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1316825920]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"851131801"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":110.57,"providers":[{"billed_charge":175.0,"npi":[1467005645]},{"billed_charge":170.0,"npi":[1467005645]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"870281028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":198.0,"npi":[1417755133,1831953355]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":206.99,"providers":[{"billed_charge":206.99,"npi":[]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":446.97,"npi":[1609858729]},{"billed_charge":429.78,"npi":[1609858729]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908LT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":94.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"874027220"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":190.0,"npi":[1598353484]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"473733039"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":112.51,"providers":[{"billed_charge":125.0,"npi":[1184017691]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"473503652"},"service_code":["03"],"billing_class":"professional","payments":[{"allowed_amount":193.75,"providers":[{"billed_charge":200.0,"npi":[1235977471]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":148.86,"providers":[{"billed_charge":275.0,"npi":[1194278754]}]},{"allowed_amount":198.46,"providers":[{"billed_charge":275.0,"npi":[1164439725]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":145.41,"providers":[{"billed_charge":243.96,"npi":[1831501717]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"471026878"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":190.0,"npi":[1114600129]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":47.57,"npi":[]},{"billed_charge":43.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":41.5,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":53.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[1073599478]},{"billed_charge":49.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":209.27,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":95.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Mammography age 50 and over","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":68.86,"providers":[{"billed_charge":109.18,"npi":[1386067478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":176.92,"npi":[1841969912]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083495","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"932952612"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":134.4,"providers":[{"billed_charge":350.0,"npi":[1023401452]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and straightforward decision making. Ttl time on the date of the encounter = 10 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":107.15,"npi":[1073812053]}]},{"allowed_amount":47.16,"providers":[{"billed_charge":107.15,"npi":[1114910296]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1841969912]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":57.81,"providers":[{"billed_charge":68.01,"npi":[1073174165]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1912234378]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1073174165]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1447559778]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"208172241"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":90.78,"providers":[{"billed_charge":210.18,"npi":[1215316377]}]},{"allowed_amount":136.17,"providers":[{"billed_charge":315.27,"npi":[1215316377]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":130.21,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":130.21,"npi":[1073599478]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"271361149"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":80.0,"npi":[1174482210]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.03,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":254.45,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":119.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.0,"providers":[{"billed_charge":99.0,"npi":[1942298161]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":54.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1093761348]}]},{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1043531999,1427458231]}]}]},{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":1494.0,"npi":[1144429994]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930623390"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1145.0,"npi":[1336778521]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]},{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":145.58,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82653","description":"Elastase, pancreatic (EL-1), fecal; quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.63,"providers":[{"billed_charge":308.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1659145548]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":158.79,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1659145548]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":92.63,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":207.88,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":17.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":109.33,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":194.36,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":55.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1659145548]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1689770521]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":176.92,"npi":[1689770521]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.53,"providers":[{"billed_charge":84.0,"npi":[1316822547]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":94.44,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.42,"providers":[{"billed_charge":926.0,"npi":[1699782722]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":32.0,"npi":[1063482305]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1629000443]}]},{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1043531999,1285766501]}]}]},{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":480.0,"npi":[1457448771]}]}]}]},{"name":"Anesthesia/Sedation ASC Medical colonoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":468.0,"providers":[{"billed_charge":720.0,"npi":[1558843326]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1447665971,1598971038]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":40.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.26,"providers":[{"billed_charge":130.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87496","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":580.79,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":255.2,"providers":[{"billed_charge":319.0,"npi":[1154543932]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1275961765]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"810538211"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":73.0,"npi":[1427479880]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":46.64,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":20.51,"npi":[]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1609975226]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":455.05,"providers":[{"billed_charge":479.0,"npi":[1366429946]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":237.5,"providers":[{"billed_charge":250.0,"npi":[1538334628]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":167.28,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.15,"providers":[{"billed_charge":37.0,"npi":[1083249577]}]}]}]},{"name":"Occupational therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GO","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"270117309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":77.85,"providers":[{"billed_charge":300.0,"npi":[1528867470]}]}]}]},{"name":"Occupational therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GO","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"270117309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.02,"providers":[{"billed_charge":75.0,"npi":[1528867470]}]},{"allowed_amount":54.06,"providers":[{"billed_charge":225.0,"npi":[1528867470]}]}]}]},{"name":"Occupational therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GO","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"270117309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.9,"providers":[{"billed_charge":75.0,"npi":[1528867470]}]},{"allowed_amount":36.8,"providers":[{"billed_charge":150.0,"npi":[1528867470]}]},{"allowed_amount":62.7,"providers":[{"billed_charge":225.0,"npi":[1528867470]}]},{"allowed_amount":81.1,"providers":[{"billed_charge":300.0,"npi":[1528867470]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":216.6,"providers":[{"billed_charge":228.0,"npi":[1336489004]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":277.88,"providers":[{"billed_charge":525.0,"npi":[1609975226]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":91.8,"providers":[{"billed_charge":102.0,"npi":[1205097110]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"522283535"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.0,"providers":[{"billed_charge":1925.0,"npi":[1588664940]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"334957946"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":65.0,"npi":[1962118620]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]},{"allowed_amount":81.0,"providers":[{"billed_charge":149.95,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":429.78,"npi":[1609858729]},{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"DME tens unit rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0730RR","description":"Tens Four Lead","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":20.65,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80355","description":"Gabapentin, non-blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":12.79,"npi":[1073599478]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9586126","description":"Emg, Needle; 2 Extremities W/Wo Related Paraspinal Areas","allowed_amounts":[{"tin":{"type":"ein","value":"273815236"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":158.12,"providers":[{"billed_charge":4500.0,"npi":[1578622890]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":23.51,"providers":[{"billed_charge":34.0,"npi":[1235310269]}]}]},{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1568786234]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":718.0,"npi":[1720714462,1942217914]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.55,"providers":[{"billed_charge":43.94,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1073590683,1508589607,1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":205.5,"npi":[1073599478]},{"billed_charge":131.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[]},{"billed_charge":51.45,"npi":[]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":33.0,"npi":[1073599478]},{"billed_charge":53.55,"npi":[1073599478]},{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]},{"allowed_amount":11.62,"providers":[{"billed_charge":51.45,"npi":[]}]},{"allowed_amount":10.56,"providers":[{"billed_charge":62.99,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":71.08,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":71.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":64.47,"npi":[1073599478]},{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":98.69,"npi":[1073599478]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1073590683,1508589607]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[]}]},{"allowed_amount":14.7,"providers":[{"billed_charge":108.39,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83013","description":"H. Pylori; Analysis For Urease Activity, Non-Radioactive Isotope","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.0,"providers":[{"billed_charge":340.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1073590683,1508589607,1578061883,1609395102,1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1073590683,1508589607,1578061883,1609395102,1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":215.93,"npi":[1073599478]}]},{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.8,"providers":[{"billed_charge":118.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":46.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1073590683,1508589607,1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":214.54,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]},{"allowed_amount":6.47,"providers":[{"billed_charge":48.22,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":505.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":37.56,"npi":[1073599478]},{"billed_charge":44.85,"npi":[1073599478]}]},{"allowed_amount":15.69,"providers":[{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":131.76,"npi":[1073599478]},{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87328","description":"Crytosporidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":143.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":60.12,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.65,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]},{"billed_charge":102.75,"npi":[]},{"billed_charge":109.93,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.38,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.37,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"562714996"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":110.02,"providers":[{"billed_charge":275.0,"npi":[1548925514]}]}]},{"tin":{"type":"ein","value":"833437928"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":137.75,"providers":[{"billed_charge":200.0,"npi":[1194550103]}]}]}]},{"name":"Mental professional child IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","description":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":111.96,"providers":[{"billed_charge":292.0,"npi":[1104453497]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.68,"providers":[{"billed_charge":53.5,"npi":[]}]},{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":535.0,"npi":[1073590683,1508589607]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1558745083]}]},{"allowed_amount":292.22,"providers":[{"billed_charge":336.0,"npi":[1861602518]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1609395102]},{"billed_charge":418.0,"npi":[1073590683,1508589607,1578061883,1609395102,1629727219]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":211.47,"providers":[{"billed_charge":323.0,"npi":[1962935593]}]},{"allowed_amount":179.75,"providers":[{"billed_charge":323.0,"npi":[1114261229,1144606146]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":468.0,"npi":[1760887186,1780631655]},{"billed_charge":560.0,"npi":[1558372151]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":328.0,"npi":[1467548941]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1457937724,1497700975]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":318.6,"providers":[{"billed_charge":354.0,"npi":[1003270687]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1114261229,1790120145,1962935593]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1265553374]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":53.75,"npi":[1851882724]}]},{"allowed_amount":75.04,"providers":[{"billed_charge":107.5,"npi":[1437768306,1851882724]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":107.5,"npi":[1437768306]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1609395102]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1609395102]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1609395102]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1609395102]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":127.15,"npi":[1073599478]},{"billed_charge":228.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":343.68,"providers":[{"billed_charge":479.16,"npi":[1174775621]}]}]},{"tin":{"type":"ein","value":"922959598"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":76.12,"providers":[{"billed_charge":150.0,"npi":[1316216369]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":81.87,"providers":[{"billed_charge":118.8,"npi":[1417215245]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":270.0,"npi":[1235716135]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84445","description":"Thyroid Stimulating Immunoglobulins (Tsi)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.79,"providers":[{"billed_charge":340.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":117.18,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.98,"providers":[{"billed_charge":59.53,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.37,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":6.0,"npi":[1285975334,1407296809]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":147.64,"providers":[{"billed_charge":313.0,"npi":[1407296809]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820482621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1518986264]}]}]},{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"820482621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.0,"providers":[{"billed_charge":15.0,"npi":[1518986264]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.74,"providers":[{"billed_charge":443.39,"npi":[1609858729]},{"billed_charge":426.34,"npi":[1609858729]}]}]},{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":767.08,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]},{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908LT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":353.45,"npi":[1487646360]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4357KX","description":"Bedside Drainage Bag","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":22.98,"providers":[{"billed_charge":28.0,"npi":[1639160708]}]},{"allowed_amount":22.52,"providers":[{"billed_charge":28.0,"npi":[1639160708]}]},{"allowed_amount":168.9,"providers":[{"billed_charge":210.0,"npi":[1639160708]}]},{"allowed_amount":394.1,"providers":[{"billed_charge":490.0,"npi":[1639160708]}]}]}]},{"name":"Flu shot all ages","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":36.85,"providers":[{"billed_charge":62.0,"npi":[1215688346]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Home health drugs/supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1953","description":"Levetiracetam injection","allowed_amounts":[{"tin":{"type":"ein","value":"680250542"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":693.0,"npi":[1619084829]}]},{"allowed_amount":67.2,"providers":[{"billed_charge":1380.96,"npi":[1619084829]}]},{"allowed_amount":255.8,"providers":[{"billed_charge":1380.96,"npi":[1619084829]}]},{"allowed_amount":38.5,"providers":[{"billed_charge":693.0,"npi":[1619084829]}]},{"allowed_amount":109.2,"providers":[{"billed_charge":1380.96,"npi":[1619084829]}]},{"allowed_amount":16.38,"providers":[{"billed_charge":693.0,"npi":[1619084829]}]},{"allowed_amount":16.8,"providers":[{"billed_charge":693.0,"npi":[1619084829]}]},{"allowed_amount":35.0,"providers":[{"billed_charge":495.0,"npi":[1619084829]}]},{"allowed_amount":49.0,"providers":[{"billed_charge":693.0,"npi":[1619084829]}]},{"allowed_amount":65.52,"providers":[{"billed_charge":1380.96,"npi":[1619084829]}]},{"allowed_amount":128.37,"providers":[{"billed_charge":693.0,"npi":[1619084829]}]},{"allowed_amount":140.0,"providers":[{"billed_charge":986.4,"npi":[1619084829]}]},{"allowed_amount":154.0,"providers":[{"billed_charge":1380.96,"npi":[1619084829]}]},{"allowed_amount":165.0,"providers":[{"billed_charge":1479.6,"npi":[1619084829]}]},{"allowed_amount":165.04,"providers":[{"billed_charge":891.0,"npi":[1619084829]}]},{"allowed_amount":196.0,"providers":[{"billed_charge":1380.96,"npi":[1619084829]}]},{"allowed_amount":328.88,"providers":[{"billed_charge":1775.52,"npi":[1619084829]}]}]}]},{"name":"Home health drugs/supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1955","description":"Inj Levocarnitine Per 1 Gm","allowed_amounts":[{"tin":{"type":"ein","value":"680250542"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":69.8,"providers":[{"billed_charge":565.72,"npi":[1619084829]}]},{"allowed_amount":55.84,"providers":[{"billed_charge":565.72,"npi":[1619084829]}]},{"allowed_amount":56.66,"providers":[{"billed_charge":565.72,"npi":[1619084829]},{"billed_charge":404.08,"npi":[1619084829]}]},{"allowed_amount":70.82,"providers":[{"billed_charge":565.72,"npi":[1619084829]}]},{"allowed_amount":84.98,"providers":[{"billed_charge":727.34,"npi":[1619084829]}]},{"allowed_amount":86.13,"providers":[{"billed_charge":565.72,"npi":[1619084829]}]},{"allowed_amount":93.07,"providers":[{"billed_charge":565.72,"npi":[1619084829]}]}]}]},{"name":"Home health drugs/supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3490","description":"Drugs Unclassified Injection","allowed_amounts":[{"tin":{"type":"ein","value":"680250542"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":35.86,"providers":[{"billed_charge":505.44,"npi":[1619084829]}]},{"allowed_amount":54.23,"providers":[{"billed_charge":505.44,"npi":[1619084829]}]},{"allowed_amount":81.34,"providers":[{"billed_charge":505.44,"npi":[1619084829]}]},{"allowed_amount":303.26,"providers":[{"billed_charge":505.44,"npi":[1619084829]}]},{"allowed_amount":27.8,"providers":[{"billed_charge":505.44,"npi":[1619084829]}]},{"allowed_amount":111.46,"providers":[{"billed_charge":505.44,"npi":[1619084829]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9379","description":"Home infusion therapy, infusion therapy, not otherwise classified","allowed_amounts":[{"tin":{"type":"ein","value":"680250542"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":269.2,"providers":[{"billed_charge":1185.0,"npi":[1619084829]}]},{"allowed_amount":745.45,"providers":[{"billed_charge":3318.0,"npi":[1619084829]}]},{"allowed_amount":307.3,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]},{"allowed_amount":395.1,"providers":[{"billed_charge":2133.0,"npi":[1619084829]}]},{"allowed_amount":376.88,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]},{"allowed_amount":488.04,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]},{"allowed_amount":302.4,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]},{"allowed_amount":372.73,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]},{"allowed_amount":504.0,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9379SH","description":"Home infusion therapy, infusion therapy, not otherwise classified","allowed_amounts":[{"tin":{"type":"ein","value":"680250542"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":302.4,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]},{"allowed_amount":307.3,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]},{"allowed_amount":395.1,"providers":[{"billed_charge":2133.0,"npi":[1619084829]}]},{"allowed_amount":372.73,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]},{"allowed_amount":504.0,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]},{"allowed_amount":269.2,"providers":[{"billed_charge":1185.0,"npi":[1619084829]}]},{"allowed_amount":376.88,"providers":[{"billed_charge":1659.0,"npi":[1619084829]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.9,"providers":[{"billed_charge":94.44,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]},{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":52.05,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":184.47,"providers":[{"billed_charge":1452.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":38.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.36,"providers":[{"billed_charge":91.35,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":261.23,"npi":[]},{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861747274"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":294.38,"npi":[1043468903]}]},{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1538712815]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"464224143"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":114.01,"providers":[{"billed_charge":200.0,"npi":[1215284880]}]}]}]},{"name":"OB lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":12.0,"npi":[1528453552]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9920325","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":120.83,"providers":[{"billed_charge":200.0,"npi":[1740680925]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":303.27,"providers":[{"billed_charge":360.0,"npi":[1689052664]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":261.21,"providers":[{"billed_charge":302.0,"npi":[1326281353]}]},{"allowed_amount":270.85,"providers":[{"billed_charge":302.0,"npi":[1326281353]}]},{"allowed_amount":271.77,"providers":[{"billed_charge":302.0,"npi":[1326281353]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1376872952,1801163464]}]},{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1346396959]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1346396959,1376872952,1801163464]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":133.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]},{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":134.4,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":148.61,"npi":[1073599478]},{"billed_charge":175.64,"npi":[1073599478]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":150.38,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99222","description":"Int. hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or EX and moderate level of medical decision making. Total time, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":346.54,"providers":[{"billed_charge":355.2,"npi":[1295267896,1902338429]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":166.48,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":37.4,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.5,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":31.48,"npi":[]},{"billed_charge":32.0,"npi":[]},{"billed_charge":50.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.58,"npi":[]},{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.52,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.52,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614859","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.75,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":154.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8748159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":180.25,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":208.44,"providers":[{"billed_charge":315.9,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":226.0,"npi":[1720816267]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"263737594"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":74.41,"providers":[{"billed_charge":200.0,"npi":[1487664603]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1215450986,1609352111,1720438633]}]},{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1154716314,1245736438]}]}]},{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":45.0,"npi":[1790715126]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":154.9,"npi":[1073599478]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7738726","description":"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":47.05,"providers":[{"billed_charge":55.35,"npi":[1750517439]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80361","description":"Opiates, 1 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":54.56,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.74,"providers":[{"billed_charge":373.8,"npi":[]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.02,"providers":[{"billed_charge":23.09,"npi":[1770931339]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17.95,"providers":[{"billed_charge":26.4,"npi":[1669792032]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]},{"tin":{"type":"ein","value":"392960395"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1801483193]}]}]},{"tin":{"type":"ein","value":"911113645"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.93,"providers":[{"billed_charge":55.0,"npi":[1407936586]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":767.08,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":41.4,"providers":[{"billed_charge":225.81,"npi":[1356334577]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":160.2,"providers":[{"billed_charge":228.86,"npi":[1104466994]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99291","description":"Critical Care, Evaluation & Management; First 30-74 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":467.05,"providers":[{"billed_charge":699.6,"npi":[1821019811]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":2461.65,"npi":[1407803612]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":47.05,"npi":[1073599478]}]},{"allowed_amount":11.62,"providers":[{"billed_charge":51.45,"npi":[]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":337.5,"providers":[{"billed_charge":375.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":17.05,"npi":[]},{"billed_charge":26.83,"npi":[]},{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":31.05,"npi":[]},{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":137.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]},{"allowed_amount":9.61,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":31.48,"npi":[]},{"billed_charge":32.0,"npi":[]},{"billed_charge":50.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.1,"npi":[]},{"billed_charge":30.08,"npi":[]},{"billed_charge":47.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]},{"allowed_amount":1.5,"providers":[{"billed_charge":1.5,"npi":[1073599478]}]},{"allowed_amount":2.0,"providers":[{"billed_charge":2.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":105.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.58,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":111.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":275.0,"npi":[1871322750]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":206.78,"providers":[{"billed_charge":328.0,"npi":[1699728022]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":184.61,"providers":[{"billed_charge":275.1,"npi":[1942390539]}]},{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1942390539]}]}]},{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":227.7,"providers":[{"billed_charge":290.0,"npi":[1780754671,1790715126]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1619381423,1821273392]}]},{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1306131453,1619381423,1669875886]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":106.7,"npi":[1073599478]},{"billed_charge":103.95,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":65.06,"npi":[1073599478]},{"billed_charge":33.31,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8834226","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":96.25,"providers":[{"billed_charge":105.38,"npi":[1346604071]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"330361048"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":42.37,"providers":[{"billed_charge":85.0,"npi":[1891787594]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":84.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":109.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.84,"providers":[{"billed_charge":376.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":141.12,"providers":[{"billed_charge":192.44,"npi":[1245198084]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":509.53,"providers":[{"billed_charge":528.48,"npi":[1003303496]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1023456324]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832660588"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":123.8,"providers":[{"billed_charge":250.0,"npi":[1285085407]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":194.16,"providers":[{"billed_charge":204.03,"npi":[1003303496]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1023456324,1568707586]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"833011825"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.3,"providers":[{"billed_charge":280.0,"npi":[1417581190]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":275.0,"npi":[1588494959]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1871082990]}]}]}]},{"name":"Chemical professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99231","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and straightforward or low lvl medical decision making. Ttl time, 25 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"631198286"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":75.0,"providers":[{"billed_charge":75.0,"npi":[1700873825]}]},{"allowed_amount":29.95,"providers":[{"billed_charge":75.0,"npi":[1942526173]}]},{"allowed_amount":70.04,"providers":[{"billed_charge":75.0,"npi":[1063911154,1144964586,1720640808]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9213426","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.33,"providers":[{"billed_charge":89.1,"npi":[1770972440]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"873334696"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":150.61,"providers":[{"billed_charge":225.0,"npi":[1053284422]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.18,"providers":[{"billed_charge":27.0,"npi":[1447264841]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]},{"allowed_amount":405.0,"providers":[{"billed_charge":749.75,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99479","description":"Subsequent Intensive Care, Per Day, Recovering Low Birth Weight Infant (Present Body Weight of 1500-2500 Grams)","allowed_amounts":[{"tin":{"type":"ein","value":"930900689"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":235.84,"providers":[{"billed_charge":1270.0,"npi":[1073611687,1073894358,1144345463,1205129699]},{"billed_charge":1309.0,"npi":[1073894358,1205129699]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":28.33,"npi":[1538144910]},{"billed_charge":26.25,"npi":[1538144910,1750368700]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1497765291]}]},{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1497765291]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":45.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":239.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":20.98,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":4.31,"npi":[1538144910]}]},{"allowed_amount":5.96,"providers":[{"billed_charge":43.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]},{"allowed_amount":28.6,"providers":[{"billed_charge":91.58,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":79.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"Blood Count; Hemoglobin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.18,"providers":[{"billed_charge":23.62,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.31,"providers":[{"billed_charge":138.6,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":388.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":45.77,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":48.73,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1376269613]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":270.07,"providers":[{"billed_charge":571.0,"npi":[1134789522]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1740231455]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.79,"providers":[{"billed_charge":311.0,"npi":[1134789522,1588441042,1982791521]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":121.16,"providers":[{"billed_charge":228.0,"npi":[1902289838]}]},{"allowed_amount":140.65,"providers":[{"billed_charge":228.0,"npi":[1932830338]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1073590683,1851968838]}]}]},{"tin":{"type":"ein","value":"911866685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":316.26,"npi":[1033435045]}]},{"allowed_amount":104.41,"providers":[{"billed_charge":341.67,"npi":[1467433706]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":185.5,"npi":[1356800460,1912591975]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":418.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1093703100]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":263.2,"npi":[1124800313]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":211.47,"providers":[{"billed_charge":323.0,"npi":[1790045045]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":450.0,"npi":[1649682576]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":177.65,"providers":[{"billed_charge":437.0,"npi":[1588441042,1982791521]}]},{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1750818019]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":333.0,"providers":[{"billed_charge":370.0,"npi":[1134449416]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":210.97,"providers":[{"billed_charge":323.0,"npi":[1912225160,1932830338]}]},{"allowed_amount":211.47,"providers":[{"billed_charge":323.0,"npi":[1932830338]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140XS","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"392837285"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":60.0,"npi":[1194480699]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":228.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"455513274"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":58.41,"providers":[{"billed_charge":250.0,"npi":[1093345654]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":268.8,"npi":[1538144910]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]},{"tin":{"type":"ein","value":"912180910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":62.14,"npi":[1821092297]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.25,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":108.56,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":108.55,"npi":[]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8762559","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":142.8,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99222","description":"Int. hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or EX and moderate level of medical decision making. Total time, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":346.54,"providers":[{"billed_charge":355.2,"npi":[1003278391]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":37.0,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[1063497451]},{"billed_charge":113.69,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.3,"providers":[{"billed_charge":202.65,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":44.61,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":133.64,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":94.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":38.85,"npi":[1063497451]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1619282225]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1023456324,1528327210]},{"billed_charge":437.78,"npi":[1023456324,1528327210]}]},{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1013675420]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.5,"providers":[{"billed_charge":50.0,"npi":[1528327210]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1013675420,1023456324,1528327210]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Speech therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92507GN","description":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual","allowed_amounts":[{"tin":{"type":"ein","value":"820535921"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":102.25,"providers":[{"billed_charge":120.0,"npi":[1982018867]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1659538627]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":229.49,"providers":[{"billed_charge":229.49,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.74,"providers":[{"billed_charge":240.0,"npi":[1730466590]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9338","description":"Home infusion therapy, immunotherapy therapy","allowed_amounts":[{"tin":{"type":"ein","value":"462787212"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":200.0,"npi":[1609209352]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":508.66,"providers":[{"billed_charge":521.38,"npi":[1194130054]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":267.88,"providers":[{"billed_charge":274.58,"npi":[1710349527]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":141.75,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Occupational therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GO","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"820535921"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":181.56,"providers":[{"billed_charge":220.0,"npi":[1811211527]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":438.25,"providers":[{"billed_charge":528.48,"npi":[1275834319]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1669875886]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":34.0,"npi":[1184155426]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168]}]},{"allowed_amount":515.53,"providers":[{"billed_charge":718.74,"npi":[1043411168]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":219.74,"providers":[{"billed_charge":225.24,"npi":[1053799924]}]},{"allowed_amount":329.6,"providers":[{"billed_charge":337.86,"npi":[1407084841]}]}]},{"tin":{"type":"ein","value":"870326048"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.58,"providers":[{"billed_charge":310.0,"npi":[1548559529]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":109.87,"providers":[{"billed_charge":112.62,"npi":[1437682671]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8834226","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":102.81,"providers":[{"billed_charge":105.38,"npi":[1053799924]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":102.81,"providers":[{"billed_charge":105.38,"npi":[1093071086]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":315.0,"providers":[{"billed_charge":776.7,"npi":[1295827780]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1750368700]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445,1932166386]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":17.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":229.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"882794043"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":158.71,"providers":[{"billed_charge":340.0,"npi":[1649866096]}]},{"allowed_amount":181.0,"providers":[{"billed_charge":340.0,"npi":[1649866096]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":243.2,"providers":[{"billed_charge":256.0,"npi":[1104409390]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"320260988"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":144.18,"providers":[{"billed_charge":485.0,"npi":[1174802201]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.3,"providers":[{"billed_charge":224.7,"npi":[1295726032]}]},{"allowed_amount":12.95,"providers":[{"billed_charge":112.35,"npi":[1538144910]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1932166386]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1932166386]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":2988.1,"npi":[1063011898]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1942298161]}]},{"allowed_amount":185.25,"providers":[{"billed_charge":350.0,"npi":[1942298161]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1841396488]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":54.44,"npi":[1366479099]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1366479099]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"461704056"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.91,"providers":[{"billed_charge":58.15,"npi":[1992006035]}]},{"allowed_amount":33.6,"providers":[{"billed_charge":58.15,"npi":[1992006035]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":117.16,"npi":[]},{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":737.0,"npi":[1447668918]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":414.0,"npi":[1699233965]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":15.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":35.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.39,"providers":[{"billed_charge":55.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":84.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":20.83,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.25,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]},{"allowed_amount":20.46,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":33.59,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]},{"allowed_amount":3.39,"providers":[{"billed_charge":17.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":49.97,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1073590683,1144937442]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":87.46,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":26.46,"npi":[]},{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":78.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":457.34,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.95,"providers":[{"billed_charge":127.82,"npi":[1538144910]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"465323819"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":148.05,"providers":[{"billed_charge":180.0,"npi":[1568611861]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"870281028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":189.0,"npi":[1992493563]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":269.68,"providers":[{"billed_charge":408.0,"npi":[1104833979]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":298.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":96.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":142.8,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":99.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.3,"providers":[{"billed_charge":247.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.26,"providers":[{"billed_charge":64.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":115.44,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":87.15,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":110.24,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":220.5,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1164857520]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":255.04,"providers":[{"billed_charge":314.0,"npi":[1467548941]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1588892749]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1508060583]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7701426","description":"Computed Tomography Guidance for Placement of Radiation Therapy Fields","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":119.68,"providers":[{"billed_charge":149.6,"npi":[1588892749,1932163680]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]},{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1356331060,1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1356331060,1386002038]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"508110172"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":185.0,"npi":[1265666440]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1386002038]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":270.0,"npi":[1386819480]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1497765291]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":337.5,"providers":[{"billed_charge":375.0,"npi":[1497765291]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.5,"providers":[{"billed_charge":115.0,"npi":[1497765291]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":21.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":162.75,"npi":[]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731QZ","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1063450120]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1508061060]}]}]},{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1063450120]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930798039"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":123.28,"providers":[{"billed_charge":336.0,"npi":[1710207204]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":10.0,"npi":[1538144910]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]},{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":110.97,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.46,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":139.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":171.4,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":162.75,"npi":[]},{"billed_charge":206.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":82.39,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.58,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":602.0,"npi":[1306044524]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"844582670"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":1008.0,"npi":[1316066962]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":146.41,"providers":[{"billed_charge":350.0,"npi":[1003131640]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":58.75,"npi":[1851882724]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.53,"providers":[{"billed_charge":58.75,"npi":[1851882724]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":117.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":104.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":123.51,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":99.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Speech therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92507GN","description":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual","allowed_amounts":[{"tin":{"type":"ein","value":"411781287"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":142.49,"providers":[{"billed_charge":150.0,"npi":[1962535245]}]}]},{"tin":{"type":"ein","value":"411781287"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":138.34,"providers":[{"billed_charge":150.0,"npi":[1962535245]}]},{"allowed_amount":142.49,"providers":[{"billed_charge":150.0,"npi":[1962535245]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.82,"providers":[{"billed_charge":71.0,"npi":[1083676431,1871630350]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99245","description":"Office or other OP consult for new or est. patient, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":943.35,"providers":[{"billed_charge":993.0,"npi":[1588891469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":314.45,"providers":[{"billed_charge":331.0,"npi":[1669445771,1821068172]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":243.2,"providers":[{"billed_charge":256.0,"npi":[1588891469,1669445771]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":150.77,"providers":[{"billed_charge":158.7,"npi":[1033230701,1346683364]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":509.2,"providers":[{"billed_charge":536.0,"npi":[1558682203]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":509.2,"providers":[{"billed_charge":536.0,"npi":[1932188935]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"753133325"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":54.0,"npi":[1528123130]},{"billed_charge":5400.0,"npi":[1528123130]}]}]},{"tin":{"type":"ein","value":"262683180"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1437211836]}]}]},{"tin":{"type":"ein","value":"481274572"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1023231552,1033196027]}]}]},{"tin":{"type":"ein","value":"810531276"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":55.0,"npi":[1346395944]},{"billed_charge":60.0,"npi":[1346395944]}]}]},{"tin":{"type":"ein","value":"931199406"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1700981651]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]},{"billed_charge":1050.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":216.99,"providers":[{"billed_charge":216.99,"npi":[]}]}]},{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":216.99,"providers":[{"billed_charge":216.99,"npi":[]}]},{"allowed_amount":206.99,"providers":[{"billed_charge":206.99,"npi":[]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.4,"providers":[{"billed_charge":1633.24,"npi":[1609858729]}]},{"allowed_amount":262.41,"providers":[{"billed_charge":1680.08,"npi":[1609858729]},{"billed_charge":2100.1,"npi":[1609858729]},{"billed_charge":1279.02,"npi":[1609858729]}]}]},{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":712.32,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":258.0,"providers":[{"billed_charge":864.0,"npi":[1639160708]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":23.5,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]},{"billed_charge":213.15,"npi":[1073599478]},{"billed_charge":175.64,"npi":[1073599478]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99222","description":"Int. hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or EX and moderate level of medical decision making. Total time, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":346.54,"providers":[{"billed_charge":355.2,"npi":[1508878372]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":179.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":167.07,"npi":[]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":197.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.66,"providers":[{"billed_charge":43.05,"npi":[]}]},{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[1073599478]},{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82024","description":"Assay Of Adrenocorticotropic Hormone (Acth)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.46,"providers":[{"billed_charge":279.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":90.15,"npi":[]}]},{"allowed_amount":13.19,"providers":[{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":171.95,"npi":[]}]},{"allowed_amount":25.54,"providers":[{"billed_charge":171.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":69.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":69.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":41.45,"npi":[]}]},{"allowed_amount":6.16,"providers":[{"billed_charge":38.85,"npi":[]},{"billed_charge":43.05,"npi":[1073599478]},{"billed_charge":41.45,"npi":[]},{"billed_charge":36.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":32.0,"npi":[]}]},{"allowed_amount":4.76,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.1,"npi":[]}]},{"allowed_amount":4.41,"providers":[{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":109.1,"npi":[1073599478]},{"billed_charge":32.42,"npi":[]},{"billed_charge":106.6,"npi":[]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]},{"billed_charge":200.29,"npi":[]},{"billed_charge":205.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":37.8,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":20.4,"npi":[]}]},{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]},{"billed_charge":31.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":19.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.84,"providers":[{"billed_charge":102.0,"npi":[]}]},{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":37.0,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.69,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.0,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":28.21,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.22,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]},{"allowed_amount":74.0,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]},{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.0,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.4,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.0,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.68,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":31.81,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]},{"billed_charge":77.26,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"901188948"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":122.5,"providers":[{"billed_charge":175.0,"npi":[1174860712]}]},{"allowed_amount":152.82,"providers":[{"billed_charge":175.0,"npi":[1174860712]}]},{"allowed_amount":154.97,"providers":[{"billed_charge":175.0,"npi":[1174860712]}]}]},{"tin":{"type":"ein","value":"861826692"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":124.66,"providers":[{"billed_charge":294.38,"npi":[1942238001]}]},{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1356035976]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":1500.0,"npi":[1558672279]},{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":434.7,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":34.5,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"050585249"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.03,"providers":[{"billed_charge":91.93,"npi":[1750438727,1952699043]}]},{"allowed_amount":45.97,"providers":[{"billed_charge":91.93,"npi":[1952699043]}]},{"allowed_amount":36.02,"providers":[{"billed_charge":91.93,"npi":[1952699043]}]},{"allowed_amount":47.5,"providers":[{"billed_charge":91.93,"npi":[1952699043]}]},{"allowed_amount":72.05,"providers":[{"billed_charge":183.86,"npi":[1952699043]}]}]},{"tin":{"type":"ein","value":"481274572"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.0,"providers":[{"billed_charge":25.0,"npi":[1033196027]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":10.0,"npi":[]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":20.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1619934817]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1528039484]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":56.13,"npi":[]},{"billed_charge":54.0,"npi":[]},{"billed_charge":184.51,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":133.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":102.6,"providers":[{"billed_charge":114.0,"npi":[1528039484]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.91,"providers":[{"billed_charge":3.91,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":109.08,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":136.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":50.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":125.46,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]},{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":140.84,"providers":[{"billed_charge":244.0,"npi":[1659574127]}]},{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":76.5,"providers":[{"billed_charge":102.0,"npi":[1295796894]}]},{"allowed_amount":91.8,"providers":[{"billed_charge":102.0,"npi":[1861475436]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":245.1,"providers":[{"billed_charge":258.0,"npi":[1538146626]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":329.6,"providers":[{"billed_charge":337.86,"npi":[1902123300]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.0,"providers":[{"billed_charge":99.0,"npi":[1578673372]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":243.01,"providers":[{"billed_charge":335.0,"npi":[1689283855]}]}]}]},{"name":"Xray office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.67,"providers":[{"billed_charge":28.36,"npi":[1871989822]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1407948169]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]},{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":353.45,"npi":[1487646360]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":193.5,"providers":[{"billed_charge":648.0,"npi":[1639160708]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9338","description":"Home infusion therapy, immunotherapy therapy","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":59.0,"providers":[{"billed_charge":897.11,"npi":[1790734036]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":181.75,"providers":[{"billed_charge":186.29,"npi":[1073174165,1407977242]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99418","description":"Prolonged inpatient/observ eval & mgmt svc time w/w/out direct pt contact beyond reqd time of prim svc when primary svc lev selected using total time, ea 15 mins of total time","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":193.12,"providers":[{"billed_charge":267.3,"npi":[1659853992,1679974059]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1528039484]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]},{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]},{"allowed_amount":25.45,"providers":[{"billed_charge":210.85,"npi":[]},{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":163.69,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.7,"npi":[]}]},{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":30.26,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":180.25,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861747274"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1447382072]}]}]}]},{"name":"Office service or supply","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1554JZ","description":"Injection, immune globulin (asceniv), 500 mg","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13039.5,"providers":[{"billed_charge":73682.69,"npi":[1790734036]},{"billed_charge":75156.39,"npi":[1790734036]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and straightforward decision making. Ttl time on the date of the encounter = 10 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":98.94,"npi":[1740680925]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1679244156]}]},{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1528455896]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":94.32,"providers":[{"billed_charge":165.45,"npi":[1548729734]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1891976783]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":97.53,"providers":[{"billed_charge":223.0,"npi":[1245754878]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1033435490,1144531070,1164840757,1588558019,1669875886,1871876060,1992025787]}]},{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1902888126]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1518455054,1831431980]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1427108240]}]},{"allowed_amount":0.02,"providers":[{"billed_charge":40.0,"npi":[1891976783]},{"billed_charge":39.0,"npi":[1538622188]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1992025787]}]},{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1790866580,1902048630]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1518455054]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97035","description":"Application of a modality to 1 or more areas; ultrasound, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"261501890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.0,"providers":[{"billed_charge":15.0,"npi":[1427083807]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":88.23,"providers":[{"billed_charge":176.0,"npi":[1730466590]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"272931022"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.21,"providers":[{"billed_charge":290.0,"npi":[1093993263]}]}]},{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":346.32,"providers":[{"billed_charge":479.16,"npi":[1558466177]}]},{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168,1558466177,1689692576]}]},{"allowed_amount":173.16,"providers":[{"billed_charge":239.58,"npi":[1043411168]}]},{"allowed_amount":343.68,"providers":[{"billed_charge":479.16,"npi":[1043411168]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":244.99,"providers":[{"billed_charge":244.99,"npi":[]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4160","description":"EF ped caloric dense>/=0.7kc","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":30.81,"providers":[{"billed_charge":222.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":67.79,"providers":[{"billed_charge":444.75,"npi":[1134151699]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":206.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":133.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":255.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1730157447]}]},{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1639490006]}]},{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1225066707]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Chiro office visit - no encounter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930795159"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":98.96,"providers":[{"billed_charge":100.0,"npi":[1790810844]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4161","description":"EF ped hydrolyzed/amino acid","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":554.4,"providers":[{"billed_charge":2232.0,"npi":[1134151699]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9213426","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.33,"providers":[{"billed_charge":89.1,"npi":[1669675229]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Flu shot all ages","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":52.46,"providers":[{"billed_charge":62.0,"npi":[1215688346]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":250.0,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.0,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8239759","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.06,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]},{"allowed_amount":9.02,"providers":[{"billed_charge":44.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614859","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.68,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.11,"providers":[{"billed_charge":73.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.01,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":92.0,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":184.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.02,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":98.7,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":35.0,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":93.97,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":105.0,"npi":[1538144910]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":612.26,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]},{"allowed_amount":834.96,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office service or supply","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1554JZ","description":"Injection, immune globulin (asceniv), 500 mg","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":12874.5,"providers":[{"billed_charge":75156.39,"npi":[1790734036]}]},{"allowed_amount":13039.5,"providers":[{"billed_charge":75156.39,"npi":[1790734036]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1760137400,1912947086]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]},{"billed_charge":57.02,"npi":[1073599478]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":51.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":57.18,"npi":[1073599478]}]},{"allowed_amount":27.94,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.52,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":31.8,"npi":[1073599478]}]},{"allowed_amount":25.81,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.76,"providers":[{"billed_charge":137.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.91,"providers":[{"billed_charge":55.85,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.28,"npi":[1104466994]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":81.87,"providers":[{"billed_charge":118.8,"npi":[1356784037]}]}]},{"tin":{"type":"ein","value":"870326048"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":96.87,"providers":[{"billed_charge":465.0,"npi":[1548559529]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.85,"providers":[{"billed_charge":240.0,"npi":[1699409748]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":135.3,"providers":[{"billed_charge":744.95,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":481.65,"providers":[{"billed_charge":507.0,"npi":[1275997926]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":34.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":52.6,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"931103256"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":75.0,"providers":[{"billed_charge":100.0,"npi":[1972640712]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"931331676"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.6,"providers":[{"billed_charge":198.88,"npi":[1245365857,1831699008]}]},{"allowed_amount":122.4,"providers":[{"billed_charge":298.32,"npi":[1245365857,1831699008]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":37.86,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":96.45,"npi":[1073599478]},{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Speech therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92507GN","description":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual","allowed_amounts":[{"tin":{"type":"ein","value":"411781287"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":142.49,"providers":[{"billed_charge":150.0,"npi":[1962535245]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1063450120]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"334957946"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":65.0,"npi":[1962118620]}]}]},{"tin":{"type":"ein","value":"873384482"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":95.0,"npi":[1942773049]}]}]}]},{"name":"Chiro office visit - no encounter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930795159"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":98.96,"providers":[{"billed_charge":100.0,"npi":[1396069225]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":63.43,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":37.19,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80357","description":"Ketamine and norketamine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":15.31,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.42,"providers":[{"billed_charge":926.0,"npi":[1699782722]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.0,"providers":[{"billed_charge":17.0,"npi":[1932634706]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.76,"providers":[{"billed_charge":34.0,"npi":[1952056376]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1568029791]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1386002038]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":32.34,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.09,"npi":[1295726032]},{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":89.54,"npi":[]},{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.42,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]},{"allowed_amount":16.59,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]},{"allowed_amount":11.89,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.49,"npi":[1295726032]}]},{"allowed_amount":25.45,"providers":[{"billed_charge":182.7,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":100.58,"npi":[1295726032]}]},{"allowed_amount":13.5,"providers":[{"billed_charge":100.58,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":33.09,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.6,"npi":[]},{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1386002038]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":189.0,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":85.33,"npi":[1295726032]}]},{"allowed_amount":8.32,"providers":[{"billed_charge":106.05,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1386002038]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84478","description":"Triglycerides","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.29,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":198.45,"npi":[1295726032]}]},{"allowed_amount":15.24,"providers":[{"billed_charge":150.99,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":84.88,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":54.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.17,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.34,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.51,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764059","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.35,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.96,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.34,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8765359","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.13,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":462.02,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.38,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]},{"allowed_amount":30.07,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":108.56,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":572.25,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834GT","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"261538914"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":149.21,"providers":[{"billed_charge":185.0,"npi":[1851449201]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":79.0,"npi":[1194604140]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":23.0,"npi":[1578504957]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":44.0,"npi":[1851968838]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7356226","description":"Radiologic examination, knee; 3 views","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":18.09,"providers":[{"billed_charge":28.0,"npi":[1063429991]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":206.49,"npi":[1538144910]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":121.66,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":60.83,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":121.66,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.42,"providers":[{"billed_charge":65.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1750989034]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1528039484]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1184044570]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Urgent care xray non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":19.66,"providers":[{"billed_charge":29.09,"npi":[1639175144]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":275.0,"npi":[1891264545]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"261501890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":55.0,"npi":[1427083807]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":80.83,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":103.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.01,"providers":[{"billed_charge":68.01,"npi":[1417078221]}]},{"allowed_amount":49.14,"providers":[{"billed_charge":68.01,"npi":[1770673303]}]},{"allowed_amount":64.72,"providers":[{"billed_charge":68.01,"npi":[1417078221]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1417078221]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1770673303]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1770619892]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87045","description":"Culture, Bacterial; Feces W/Isolation & Preliminary Exam, Salmonella & Shigella Species","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":35.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87427","description":"Shiga-like toxin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":47.35,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":207.21,"providers":[{"billed_charge":279.0,"npi":[1780766709]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.59,"providers":[{"billed_charge":313.18,"npi":[1467890137]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1770619892]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":64.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":39.0,"npi":[1073599478]},{"billed_charge":33.0,"npi":[1073599478]},{"billed_charge":35.62,"npi":[1073599478]},{"billed_charge":38.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":34.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":30.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":999.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":34.0,"npi":[1073599478]},{"billed_charge":35.1,"npi":[1073599478]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1396232351]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":160.2,"providers":[{"billed_charge":228.86,"npi":[1104466994]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.28,"npi":[1104466994]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"481290066"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.47,"providers":[{"billed_charge":213.0,"npi":[1780550863]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Transplant lab IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":20.33,"providers":[{"billed_charge":26.4,"npi":[1205194636,1346584174,1396835252,1548423502,1831274646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":199.77,"providers":[{"billed_charge":240.0,"npi":[1407237043]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":12.0,"npi":[1598956963]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":100.58,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":33.09,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":44.61,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":245.1,"providers":[{"billed_charge":258.0,"npi":[1538156799]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230KX","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":291.9,"providers":[{"billed_charge":510.0,"npi":[1255330825]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":118.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":301.8,"providers":[{"billed_charge":446.0,"npi":[1427268416]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.97,"providers":[{"billed_charge":12.6,"npi":[1174187454]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":2461.65,"npi":[1528177151]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":275.0,"npi":[1114759578]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":105.75,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8836059","description":"Morphometric Analysis, Tumor Immunohistochemistry, Quantitative Or Semiquantitative, Ea Antibody; Manual","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":106.58,"providers":[{"billed_charge":200.0,"npi":[1740733708]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":241.8,"providers":[{"billed_charge":1200.0,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"223510467"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.14,"providers":[{"billed_charge":130.0,"npi":[1750373908]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.96,"providers":[{"billed_charge":18.0,"npi":[1356922579]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":23.0,"npi":[1528190956]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.3,"providers":[{"billed_charge":202.65,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.9,"providers":[{"billed_charge":94.44,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.2,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1073590683]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":56.22,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831226","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":50.0,"npi":[1497167720]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831326","description":"Special Stains; Group Ii, All Other, Non-Immunocytochemistry & Non-Immunoperoxidase, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.1,"providers":[{"billed_charge":23.0,"npi":[1497167720]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":95.49,"providers":[{"billed_charge":491.38,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":296.59,"npi":[]},{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":23.0,"npi":[1154598860]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"455412849"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":210.0,"npi":[1518935618]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":148.05,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1255990503]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1366479099]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.36,"providers":[{"billed_charge":16.0,"npi":[1134612658]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.64,"providers":[{"billed_charge":84.0,"npi":[1831738756]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"930593725"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":39.0,"npi":[1497787485]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":429.78,"npi":[1609858729]}]}]}]},{"name":"Allergy injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","description":"Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection","allowed_amounts":[{"tin":{"type":"ein","value":"200355426"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.5,"providers":[{"billed_charge":13.0,"npi":[1568423879]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1286.0,"npi":[1144942277]}]}]},{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":776.7,"providers":[{"billed_charge":863.0,"npi":[1083092621]}]},{"allowed_amount":911.7,"providers":[{"billed_charge":1013.0,"npi":[1346582509]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1035.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1437135886]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1760299986]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":78.95,"npi":[]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":39.5,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":61.48,"npi":[]}]},{"allowed_amount":4.75,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":47.52,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.43,"providers":[{"billed_charge":201.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.5,"providers":[{"billed_charge":193.69,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":96.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86708","description":"Hepatitis A antibody (HAAb)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":95.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.36,"providers":[{"billed_charge":2.36,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1033139068]}]}]},{"tin":{"type":"ein","value":"930425580"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1972261758]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1427282938]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1295152585,1497423073]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.25,"providers":[{"billed_charge":46.25,"npi":[1851882724]}]},{"allowed_amount":46.9,"providers":[{"billed_charge":53.75,"npi":[1851882724]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]},{"allowed_amount":559.76,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":82.39,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":75.29,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80323","description":"Alkaloids, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"912180910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":48.24,"providers":[{"billed_charge":65.0,"npi":[1821092297]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":269.68,"providers":[{"billed_charge":408.0,"npi":[1356749253]}]}]},{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":355.0,"npi":[1003674714]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1962954115]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":200.25,"npi":[1073599478]},{"billed_charge":131.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":34.05,"npi":[1073599478]},{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":61.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":62.52,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":88.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"421703993"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":191.69,"providers":[{"billed_charge":435.0,"npi":[1104280726]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1548356306]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":157.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86708","description":"Hepatitis A antibody (HAAb)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":114.37,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":102.15,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":99.83,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":50.0,"npi":[1033203393]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"342005143"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":57.56,"providers":[{"billed_charge":60.0,"npi":[1083786768]}]}]},{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]},{"tin":{"type":"ein","value":"392960395"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1801483193]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":98.31,"providers":[{"billed_charge":354.0,"npi":[1548443716]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":48.52,"npi":[1073599478]},{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":633.65,"providers":[{"billed_charge":667.0,"npi":[1770568735]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1619909314]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":481.65,"providers":[{"billed_charge":507.0,"npi":[1770568735]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1619909314]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":39.0,"npi":[1558593046]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":198.46,"providers":[{"billed_charge":275.0,"npi":[1487094108]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":517.5,"providers":[{"billed_charge":2785.5,"npi":[1710079223]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":280.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":64.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97012GP","description":"Application, Modality To 1+ Areas; Traction, Mechanical","allowed_amounts":[{"tin":{"type":"ein","value":"342005143"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.17,"providers":[{"billed_charge":30.0,"npi":[1083786768]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":201.6,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":309.72,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.88,"providers":[{"billed_charge":135.12,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.63,"providers":[{"billed_charge":61.75,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":178.35,"npi":[1609812445]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.85,"providers":[{"billed_charge":240.0,"npi":[1184127797]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":115.44,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":390.6,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"833039201"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":102.21,"providers":[{"billed_charge":150.0,"npi":[1043415912]}]},{"allowed_amount":114.28,"providers":[{"billed_charge":150.0,"npi":[1043415912]}]}]},{"tin":{"type":"ein","value":"833039201"},"service_code":["02","11"],"billing_class":"professional","payments":[{"allowed_amount":102.21,"providers":[{"billed_charge":150.0,"npi":[1043415912]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":50.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":148.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","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","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.17,"providers":[{"billed_charge":266.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":206.85,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":119.7,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":107.1,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.7,"providers":[{"billed_charge":271.4,"npi":[1013383116]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":105.45,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":35.07,"npi":[]},{"billed_charge":34.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.39,"providers":[{"billed_charge":55.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":41.4,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":71.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":35.64,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":20.14,"npi":[]},{"billed_charge":20.83,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":33.59,"npi":[]},{"billed_charge":33.33,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":27.08,"npi":[]},{"billed_charge":27.53,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":142.2,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":246.15,"npi":[1538144910]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1720039803]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1609812445]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.41,"providers":[{"billed_charge":79.55,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","description":"Therapeutic, Prophylactic, or Diagnostic Injection (Specify Substance or Drug); Subcutaneous or Intramuscular","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.8,"providers":[{"billed_charge":56.0,"npi":[1609395102]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1609395102]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1609395102]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":150.0,"npi":[1851882724]}]},{"allowed_amount":37.52,"providers":[{"billed_charge":134.25,"npi":[1851882724]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"943375456"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":125.23,"providers":[{"billed_charge":280.0,"npi":[1568063311]}]},{"allowed_amount":96.82,"providers":[{"billed_charge":210.0,"npi":[1568063311]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":115.75,"npi":[1073599478]},{"billed_charge":71.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":15.46,"npi":[1073599478]},{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":22.92,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]},{"allowed_amount":16.42,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":36.81,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":170.14,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]},{"allowed_amount":11.89,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":20.98,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.33,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]},{"allowed_amount":57.92,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]},{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":535.0,"npi":[1366930463]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.02,"providers":[{"billed_charge":472.0,"npi":[1952572174]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.35,"providers":[{"billed_charge":200.55,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":218.09,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":180.29,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":263.24,"npi":[1538144910]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":52.3,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]},{"allowed_amount":397.98,"providers":[{"billed_charge":720.0,"npi":[1871582023]}]}]},{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":121.48,"providers":[{"billed_charge":219.2,"npi":[1174620496]}]},{"allowed_amount":219.2,"providers":[{"billed_charge":219.2,"npi":[1699902726]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.82,"providers":[{"billed_charge":71.0,"npi":[1871630350]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":105.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]},{"allowed_amount":9.71,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.47,"providers":[{"billed_charge":18.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"916001537"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.56,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":180.25,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.08,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.14,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.15,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.75,"providers":[{"billed_charge":157.92,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":106.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":91.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":394.2,"providers":[{"billed_charge":783.0,"npi":[1639160708]}]},{"allowed_amount":387.0,"providers":[{"billed_charge":783.0,"npi":[1639160708]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.79,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":173.43,"providers":[{"billed_charge":204.03,"npi":[1720810278]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1699200733]}]},{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1720810278]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1366479099]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"931199406"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1700981651]}]}]},{"tin":{"type":"ein","value":"363949277"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28.29,"providers":[{"billed_charge":50.0,"npi":[1366461006]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":430.0,"npi":[1265446678]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":157.21,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]}]},{"allowed_amount":10.56,"providers":[{"billed_charge":53.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.18,"providers":[{"billed_charge":59.18,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.07,"providers":[{"billed_charge":45.88,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1033265657]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1114261229]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":21.3,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":248.85,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.0,"providers":[{"billed_charge":20.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":184.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.78,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.68,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"334984391"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":147.42,"providers":[{"billed_charge":225.0,"npi":[1205062643]},{"billed_charge":255.0,"npi":[1205062643]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":39.0,"npi":[1649767963]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"833313678"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1275095101]}]}]},{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":36.75,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":37.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":128.29,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":20.0,"npi":[1770619892]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":95.98,"providers":[{"billed_charge":140.0,"npi":[1790980837]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0656RR","description":"Segmental pneumatic appliance for use with pneumatic compressor, trunk","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":50.47,"providers":[{"billed_charge":84.61,"npi":[1427131424]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":90.9,"providers":[{"billed_charge":101.0,"npi":[1528039484]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":201.15,"npi":[1346498755]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.64,"providers":[{"billed_charge":111.2,"npi":[1033400031]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4332KX","description":"Lubricant For Cath Insertion","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":23.4,"providers":[{"billed_charge":70.2,"npi":[1639160708]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.24,"providers":[{"billed_charge":61.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":252.22,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.69,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.22,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]},{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":36.27,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.4,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.68,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":344.0,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]},{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":449.55,"providers":[{"billed_charge":449.55,"npi":[1841515517]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.73,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.02,"providers":[{"billed_charge":471.0,"npi":[1538147517]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.5,"providers":[{"billed_charge":92.5,"npi":[1609104496]}]},{"allowed_amount":46.9,"providers":[{"billed_charge":50.0,"npi":[1851882724]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":795.96,"providers":[{"billed_charge":920.0,"npi":[1922452515]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.02,"providers":[{"billed_charge":23.09,"npi":[1922373026]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99245","description":"Office or other OP consult for new or est. patient, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":885.4,"providers":[{"billed_charge":932.0,"npi":[1386080968]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.74,"providers":[{"billed_charge":840.04,"npi":[1609858729]},{"billed_charge":420.02,"npi":[1609858729]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.26,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]},{"allowed_amount":20.87,"providers":[{"billed_charge":53.3,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99222","description":"Int. hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or EX and moderate level of medical decision making. Total time, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":295.03,"providers":[{"billed_charge":355.2,"npi":[1811280787]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":44.07,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":17.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":37.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":171.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.39,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":48.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":54.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":38.22,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":41.45,"npi":[]}]},{"allowed_amount":6.16,"providers":[{"billed_charge":44.17,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":112.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":31.5,"npi":[]}]},{"allowed_amount":22.1,"providers":[{"billed_charge":31.5,"npi":[]},{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":31.0,"npi":[]},{"billed_charge":44.07,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":96.35,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.69,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":36.27,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":72.36,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.68,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]},{"allowed_amount":26.89,"providers":[{"billed_charge":84.07,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"882977235"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":162.18,"providers":[{"billed_charge":352.0,"npi":[1053809806,1437214350]}]},{"allowed_amount":137.85,"providers":[{"billed_charge":352.0,"npi":[1912428343]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":171.42,"providers":[{"billed_charge":274.0,"npi":[1790737708]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1659037109]}]}]},{"tin":{"type":"ein","value":"911019392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":145.35,"providers":[{"billed_charge":231.0,"npi":[1851978118]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","allowed_amounts":[{"tin":{"type":"ein","value":"264283460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.0,"providers":[{"billed_charge":31.0,"npi":[1336868868]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"264283460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.22,"providers":[{"billed_charge":140.0,"npi":[1336868868]}]},{"allowed_amount":25.11,"providers":[{"billed_charge":70.0,"npi":[1336868868]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"260152289"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.17,"providers":[{"billed_charge":95.0,"npi":[1639677065,1851816540]}]},{"allowed_amount":28.7,"providers":[{"billed_charge":95.0,"npi":[1851816540]}]},{"allowed_amount":20.1,"providers":[{"billed_charge":95.0,"npi":[1639677065]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[]},{"billed_charge":184.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":142.19,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]},{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":140.84,"providers":[{"billed_charge":244.0,"npi":[1659574127]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":149.74,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]},{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":198.0,"npi":[1609975226]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":55.0,"npi":[1407948169]}]}]},{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":260.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":193.92,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":49.02,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.78,"providers":[{"billed_charge":134.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":45.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":251.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":49.02,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":100.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":84.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1588008858]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":53.9,"npi":[1316469356,1346330933]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"461495284"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.63,"providers":[{"billed_charge":69.0,"npi":[1316983059]}]},{"allowed_amount":24.82,"providers":[{"billed_charge":69.0,"npi":[1598701773]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":116.0,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":169.82,"providers":[{"billed_charge":240.0,"npi":[1891577284]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7363026","description":"Radiologic Exam, Foot; Complete, 3+ Views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":14.15,"providers":[{"billed_charge":27.33,"npi":[1952715609]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":72.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":118.65,"npi":[]},{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":209.62,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":106.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":98.7,"npi":[]},{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":128.1,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"OB lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"262072378"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.17,"providers":[{"billed_charge":10.0,"npi":[1083306039]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.64,"providers":[{"billed_charge":313.0,"npi":[1255731014]}]},{"allowed_amount":198.46,"providers":[{"billed_charge":264.21,"npi":[1528670585]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":468.43,"providers":[{"billed_charge":468.43,"npi":[1861806523]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":152.44,"providers":[{"billed_charge":173.24,"npi":[1861806523]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":27.0,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870326048"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":161.45,"providers":[{"billed_charge":775.0,"npi":[1497191860]}]},{"allowed_amount":32.29,"providers":[{"billed_charge":155.0,"npi":[1275660326,1497191860]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":16.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87045","description":"Culture, Bacterial; Feces W/Isolation & Preliminary Exam, Salmonella & Shigella Species","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":61.52,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87427","description":"Shiga-like toxin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":81.61,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":254.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1811218720]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":430.0,"providers":[{"billed_charge":870.0,"npi":[1639160708]}]},{"allowed_amount":438.0,"providers":[{"billed_charge":870.0,"npi":[1639160708]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":40.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":128.29,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":140.84,"providers":[{"billed_charge":244.0,"npi":[1659574127]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"810520405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.92,"providers":[{"billed_charge":48.0,"npi":[1700938040]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1035.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[1073599478]},{"billed_charge":132.51,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99469","description":"Subsequent Inpatient Neonatal Critical Care, Per Day, Critically Ill Neonate, 28 Days of Age or Less","allowed_amounts":[{"tin":{"type":"ein","value":"742161737"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1204.98,"providers":[{"billed_charge":1572.0,"npi":[1043578404,1376712653,1396904942,1497983449,1700961448,1760919237]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":105.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":74.97,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]},{"allowed_amount":9.02,"providers":[{"billed_charge":60.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.55,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]},{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]},{"allowed_amount":105.78,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]},{"allowed_amount":70.22,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]},{"allowed_amount":34.86,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":175.77,"providers":[{"billed_charge":328.0,"npi":[1407527914]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1659995942]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":39.0,"npi":[1437883162]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","allowed_amounts":[{"tin":{"type":"ein","value":"264283460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.0,"providers":[{"billed_charge":31.0,"npi":[1336868868]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"264283460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":70.0,"npi":[1336868868]}]},{"allowed_amount":58.35,"providers":[{"billed_charge":140.0,"npi":[1336868868]}]},{"allowed_amount":50.4,"providers":[{"billed_charge":140.0,"npi":[1336868868]}]},{"allowed_amount":75.6,"providers":[{"billed_charge":210.0,"npi":[1336868868]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.5,"providers":[{"billed_charge":2.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.8,"providers":[{"billed_charge":163.05,"npi":[1073599478]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":45.0,"npi":[1073599478]},{"billed_charge":184.51,"npi":[]}]},{"allowed_amount":18.48,"providers":[{"billed_charge":44.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.5,"providers":[{"billed_charge":2.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]},{"allowed_amount":20.23,"providers":[{"billed_charge":54.1,"npi":[]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8836059","description":"Morphometric Analysis, Tumor Immunohistochemistry, Quantitative Or Semiquantitative, Ea Antibody; Manual","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":106.58,"providers":[{"billed_charge":200.0,"npi":[1740733708]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":148.62,"providers":[{"billed_charge":273.0,"npi":[1881948784]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":16.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":38.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":69.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":267.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":33.09,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":191.15,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.3,"providers":[{"billed_charge":177.83,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":407.51,"providers":[{"billed_charge":417.7,"npi":[1699035741]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4557NU","description":"Lead Wires, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11.7,"providers":[{"billed_charge":39.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":196.24,"providers":[{"billed_charge":392.48,"npi":[1740589639]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":276.99,"providers":[{"billed_charge":276.99,"npi":[]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1605.44,"npi":[1609858729]}]},{"allowed_amount":403.7,"providers":[{"billed_charge":816.62,"npi":[1609858729]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":54.12,"providers":[{"billed_charge":286.52,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":129.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83935","description":"Osmolality; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":129.0,"npi":[1083249577]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":345.0,"providers":[{"billed_charge":1857.0,"npi":[1295827780]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"262683180"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1437211836]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.25,"providers":[{"billed_charge":123.0,"npi":[1659574127]}]}]}]},{"name":"ADD/ADHD/Dyslexia visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"882977235"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":198.0,"npi":[1659713212]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731QZ","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1447755699]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":54.0,"npi":[1073599478]}]}]}]},{"name":"Infertility endorsement lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Infertility endorsement lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Infertility endorsement lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":93.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":88.26,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":41.84,"providers":[{"billed_charge":869.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":79.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":499.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":109.52,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.98,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]},{"allowed_amount":35.34,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"462821546"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":175.0,"npi":[1508110974]}]}]},{"tin":{"type":"ein","value":"614189120"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":150.0,"providers":[{"billed_charge":150.0,"npi":[1376966762]}]},{"allowed_amount":135.0,"providers":[{"billed_charge":135.0,"npi":[1376966762]}]}]},{"tin":{"type":"ein","value":"930921282"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":360.0,"npi":[1790217578]},{"billed_charge":335.0,"npi":[1790217578]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":580.79,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]},{"allowed_amount":589.5,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":23.0,"npi":[1578504957]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":57.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":95.98,"providers":[{"billed_charge":140.0,"npi":[1497167720]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831226","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":50.0,"npi":[1497167720]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831326","description":"Special Stains; Group Ii, All Other, Non-Immunocytochemistry & Non-Immunoperoxidase, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.2,"providers":[{"billed_charge":46.0,"npi":[1497167720]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1497167720]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97153HN","description":"Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or QHC professional, face-to-face with one patient, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"814138294"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":455.0,"npi":[1619368446]}]},{"allowed_amount":312.0,"providers":[{"billed_charge":390.0,"npi":[1619368446]}]},{"allowed_amount":208.0,"providers":[{"billed_charge":260.0,"npi":[1619368446]}]},{"allowed_amount":390.0,"providers":[{"billed_charge":487.5,"npi":[1619368446]}]},{"allowed_amount":416.0,"providers":[{"billed_charge":520.0,"npi":[1619368446]}]},{"allowed_amount":338.0,"providers":[{"billed_charge":422.5,"npi":[1619368446]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731QZ","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1093761348]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"522283535"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.0,"providers":[{"billed_charge":1925.0,"npi":[1588664940]},{"billed_charge":520.0,"npi":[1497160717,1588664940]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":30.34,"providers":[{"billed_charge":70.0,"npi":[1013735711]}]},{"allowed_amount":30.5,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]},{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]},{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1205194826]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"392837285"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":69.0,"npi":[1194480699]}]}]},{"tin":{"type":"ein","value":"911787654"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":67.0,"npi":[1770655342]}]}]},{"tin":{"type":"ein","value":"261551428"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":76.0,"npi":[1679648612]},{"billed_charge":67.25,"npi":[1679648612]}]},{"allowed_amount":67.25,"providers":[{"billed_charge":67.25,"npi":[1679648612]}]},{"allowed_amount":76.0,"providers":[{"billed_charge":76.0,"npi":[1679648612]}]}]},{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":55.0,"npi":[1770619892]},{"billed_charge":65.0,"npi":[1770619892]}]}]},{"tin":{"type":"ein","value":"461704056"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.91,"providers":[{"billed_charge":58.15,"npi":[1992006035]}]},{"allowed_amount":33.6,"providers":[{"billed_charge":58.15,"npi":[1992006035]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940AT","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"208624186"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":66.97,"npi":[1134837206]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98942","description":"Chiropractic Manipulative Treatment (Cmt); Spinal, 5 Regions","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":110.0,"providers":[{"billed_charge":110.0,"npi":[1184128845,1992023766]}]},{"allowed_amount":70.35,"providers":[{"billed_charge":110.0,"npi":[1184128845,1992023766]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":173.59,"providers":[{"billed_charge":173.59,"npi":[]}]},{"allowed_amount":349.99,"providers":[{"billed_charge":349.99,"npi":[]}]},{"allowed_amount":369.99,"providers":[{"billed_charge":369.99,"npi":[]}]}]},{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":249.99,"providers":[{"billed_charge":249.99,"npi":[]}]},{"allowed_amount":169.99,"providers":[{"billed_charge":169.99,"npi":[]}]},{"allowed_amount":399.0,"providers":[{"billed_charge":399.0,"npi":[]}]},{"allowed_amount":225.99,"providers":[{"billed_charge":225.99,"npi":[]}]},{"allowed_amount":229.99,"providers":[{"billed_charge":229.99,"npi":[]}]},{"allowed_amount":357.49,"providers":[{"billed_charge":357.49,"npi":[]}]},{"allowed_amount":549.99,"providers":[{"billed_charge":549.99,"npi":[]}]},{"allowed_amount":192.09,"providers":[{"billed_charge":192.09,"npi":[]}]},{"allowed_amount":206.99,"providers":[{"billed_charge":206.99,"npi":[]}]},{"allowed_amount":297.49,"providers":[{"billed_charge":297.49,"npi":[]}]},{"allowed_amount":439.99,"providers":[{"billed_charge":439.99,"npi":[]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"330361048"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":42.37,"providers":[{"billed_charge":85.0,"npi":[1891787594]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]},{"allowed_amount":39.52,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0651RR","description":"Pneum Compressor Segmental","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":68.96,"providers":[{"billed_charge":134.0,"npi":[1427131424]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4353KX","description":"Intermittent Urinary Cath","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1497.6,"providers":[{"billed_charge":2052.0,"npi":[1639160708]}]},{"allowed_amount":748.8,"providers":[{"billed_charge":1026.0,"npi":[1639160708]}]},{"allowed_amount":1528.2,"providers":[{"billed_charge":2052.0,"npi":[1639160708]}]},{"allowed_amount":764.1,"providers":[{"billed_charge":1026.0,"npi":[1639160708]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80355","description":"Gabapentin, non-blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":6.88,"npi":[]},{"billed_charge":15.51,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80360","description":"Methylphenidate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":6.87,"npi":[]},{"billed_charge":15.49,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"883286578"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":87.75,"providers":[{"billed_charge":2500.0,"npi":[1366150773]}]}]},{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.43,"providers":[{"billed_charge":228.86,"npi":[1467890137]}]}]},{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":88.23,"providers":[{"billed_charge":176.0,"npi":[1730466590]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9213426","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":63.75,"providers":[{"billed_charge":89.1,"npi":[1699035741]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]},{"tin":{"type":"ein","value":"200391730"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":111.0,"providers":[{"billed_charge":265.0,"npi":[1760418370]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"CT Scan, Head or Brain; Without Contrast Material","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":125.0,"npi":[1316262108]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.46,"providers":[{"billed_charge":27.0,"npi":[1497700975]}]}]},{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":28.3,"npi":[1205194826,1447665971]}]}]},{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1487362489,1518402783,1568029791]}]}]},{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":481.0,"providers":[{"billed_charge":962.0,"npi":[1073755484]}]},{"allowed_amount":226.46,"providers":[{"billed_charge":962.0,"npi":[1013955798,1285861989,1427741362,1528448024]},{"billed_charge":874.0,"npi":[1144942277,1831725894]}]}]},{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":2461.65,"npi":[1528177151]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140359","description":"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions)","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.9,"providers":[{"billed_charge":740.8,"npi":[1598314437]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":10.0,"npi":[]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":16.35,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.37,"providers":[{"billed_charge":77.7,"npi":[]}]},{"allowed_amount":24.73,"providers":[{"billed_charge":42.05,"npi":[]},{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":718.0,"npi":[1164159091]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":25.0,"npi":[1538144910]},{"billed_charge":20.0,"npi":[1538144910]},{"billed_charge":26.25,"npi":[1295726032,1437135886,1538144910]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":30.91,"npi":[1538144910]},{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"860828589"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.0,"providers":[{"billed_charge":6.0,"npi":[1245209741,1447789359,1871975482,1891855425]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1144937442,1285324756,1366930463,1386002038,1578061883,1609395102,1629727219,1760299986,1891492773,1952056376,1962689695]}]},{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1073590683,1144937442,1376510008,1386002038,1578061883,1609395102,1629727219,1689730616,1760299986,1891492773,1952056376]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":23.0,"npi":[1952304396]}]},{"allowed_amount":9.34,"providers":[{"billed_charge":23.0,"npi":[1063751642]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":25.0,"npi":[]},{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":10.0,"npi":[1073599478]}]},{"allowed_amount":8.83,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":25.0,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":10.0,"npi":[1073599478]},{"billed_charge":11.24,"npi":[1073599478]},{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":12.74,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":18.0,"npi":[1417387820]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"824794684"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1205656592]}]},{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1205656592,1457173320]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82024","description":"Assay Of Adrenocorticotropic Hormone (Acth)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.46,"providers":[{"billed_charge":279.3,"npi":[1073599478]},{"billed_charge":82.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.46,"providers":[{"billed_charge":3.46,"npi":[]}]},{"allowed_amount":3.66,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]},{"allowed_amount":4.6,"providers":[{"billed_charge":13.5,"npi":[1073599478]},{"billed_charge":21.88,"npi":[1073599478]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.42,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]},{"allowed_amount":16.59,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82542","description":"Column chromatography, mass spectrometry, if performed (eg, HPLC, LC, LC/MS LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":165.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1144937442,1285324756,1366930463,1386002038,1578061883,1609395102,1629727219,1760299986,1891492773,1962689695]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":115.0,"npi":[1073599478]}]},{"allowed_amount":13.79,"providers":[{"billed_charge":47.41,"npi":[1073599478]},{"billed_charge":111.3,"npi":[]},{"billed_charge":46.35,"npi":[1073599478]},{"billed_charge":110.03,"npi":[1073599478]},{"billed_charge":114.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.3,"providers":[{"billed_charge":202.65,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]},{"allowed_amount":12.01,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":219.0,"npi":[]}]},{"allowed_amount":27.94,"providers":[{"billed_charge":63.1,"npi":[1073599478]},{"billed_charge":219.0,"npi":[1073599478]}]},{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":63.1,"npi":[1073599478]},{"billed_charge":198.11,"npi":[1073599478]},{"billed_charge":211.56,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":210.2,"npi":[1538144910]}]},{"allowed_amount":25.45,"providers":[{"billed_charge":43.55,"npi":[1538144910]},{"billed_charge":182.7,"npi":[1538144910]},{"billed_charge":63.1,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1073590683,1144937442,1285324756,1366930463,1376510008,1386002038,1578061883,1609395102,1629727219,1689730616,1760299986,1891492773,1952056376,1962689695]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.34,"providers":[{"billed_charge":204.31,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":130.23,"npi":[1538144910]},{"billed_charge":134.4,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":130.23,"npi":[]}]},{"allowed_amount":16.9,"providers":[{"billed_charge":47.0,"npi":[1073599478]},{"billed_charge":134.4,"npi":[1073599478]},{"billed_charge":129.38,"npi":[1073599478]},{"billed_charge":131.73,"npi":[1073599478]}]},{"allowed_amount":18.58,"providers":[{"billed_charge":130.23,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1144937442,1285324756,1366930463,1386002038,1578061883,1609395102,1962689695]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":54.21,"npi":[1538144910]},{"billed_charge":49.43,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]},{"billed_charge":42.48,"npi":[]}]},{"allowed_amount":8.74,"providers":[{"billed_charge":42.48,"npi":[1073599478]}]},{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[1073599478]},{"billed_charge":22.82,"npi":[1073599478]},{"billed_charge":22.84,"npi":[1073599478]},{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":61.95,"npi":[1073599478]},{"billed_charge":30.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]},{"allowed_amount":23.84,"providers":[{"billed_charge":321.4,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]},{"billed_charge":106.63,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":3.46,"providers":[{"billed_charge":3.46,"npi":[]}]},{"allowed_amount":3.66,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]},{"allowed_amount":4.87,"providers":[{"billed_charge":13.37,"npi":[1073599478]},{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"Blood Count; Hemoglobin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.18,"providers":[{"billed_charge":37.53,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":58.24,"npi":[1073599478]},{"billed_charge":38.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":56.22,"npi":[]}]},{"allowed_amount":8.82,"providers":[{"billed_charge":56.22,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":117.7,"npi":[]}]},{"allowed_amount":33.02,"providers":[{"billed_charge":161.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":105.0,"npi":[1538144910]},{"billed_charge":110.25,"npi":[1750368700]},{"billed_charge":62.75,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":116.5,"npi":[1073599478]},{"billed_charge":62.75,"npi":[1073599478]},{"billed_charge":79.24,"npi":[1073599478]},{"billed_charge":110.25,"npi":[1073599478]},{"billed_charge":81.16,"npi":[1073599478]},{"billed_charge":92.0,"npi":[]},{"billed_charge":58.0,"npi":[1073599478]}]},{"allowed_amount":12.09,"providers":[{"billed_charge":86.0,"npi":[1073599478]}]},{"allowed_amount":10.97,"providers":[{"billed_charge":86.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.16,"providers":[{"billed_charge":275.0,"npi":[]},{"billed_charge":376.48,"npi":[]}]},{"allowed_amount":46.84,"providers":[{"billed_charge":376.48,"npi":[]}]},{"allowed_amount":50.9,"providers":[{"billed_charge":275.0,"npi":[1073599478]}]},{"allowed_amount":70.26,"providers":[{"billed_charge":499.95,"npi":[1073599478]},{"billed_charge":512.04,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.57,"providers":[{"billed_charge":818.64,"npi":[1073599478]},{"billed_charge":841.96,"npi":[1073599478]}]},{"allowed_amount":143.44,"providers":[{"billed_charge":1018.44,"npi":[1073599478]}]},{"allowed_amount":33.02,"providers":[{"billed_charge":260.4,"npi":[1073599478]}]},{"allowed_amount":130.08,"providers":[{"billed_charge":1018.44,"npi":[]}]},{"allowed_amount":148.59,"providers":[{"billed_charge":1322.19,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":234.01,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86334","description":"Immunofixation Electrophoresis","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.55,"providers":[{"billed_charge":227.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":38.06,"npi":[1073599478]},{"billed_charge":54.66,"npi":[1073599478]},{"billed_charge":108.08,"npi":[1073599478]},{"billed_charge":47.65,"npi":[1073599478]},{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86664","description":"Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen (Ebna)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.09,"providers":[{"billed_charge":117.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":92.79,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":96.34,"npi":[1073599478]},{"billed_charge":103.72,"npi":[1073599478]},{"billed_charge":100.54,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86708","description":"Hepatitis A antibody (HAAb)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":115.66,"npi":[1073599478]},{"billed_charge":95.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":86.1,"npi":[]},{"billed_charge":78.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":37.28,"npi":[1073599478]},{"billed_charge":59.53,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":218.11,"npi":[1073599478]},{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.33,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]},{"allowed_amount":57.92,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87497","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.43,"providers":[{"billed_charge":463.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":74.42,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":390.6,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":602.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","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","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.17,"providers":[{"billed_charge":266.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.98,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":34.66,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":116.03,"npi":[]},{"billed_charge":116.57,"npi":[]},{"billed_charge":67.87,"npi":[]},{"billed_charge":70.99,"npi":[]},{"billed_charge":110.24,"npi":[]},{"billed_charge":114.34,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":41.67,"npi":[]},{"billed_charge":101.81,"npi":[]},{"billed_charge":116.03,"npi":[]},{"billed_charge":116.57,"npi":[]},{"billed_charge":119.29,"npi":[]},{"billed_charge":77.72,"npi":[]},{"billed_charge":110.24,"npi":[]}]},{"allowed_amount":95.49,"providers":[{"billed_charge":333.88,"npi":[]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]},{"billed_charge":141.98,"npi":[]},{"billed_charge":220.5,"npi":[]},{"billed_charge":217.84,"npi":[]},{"billed_charge":232.06,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":220.5,"npi":[]},{"billed_charge":238.58,"npi":[]},{"billed_charge":232.06,"npi":[]},{"billed_charge":155.44,"npi":[]},{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":77.2,"providers":[{"billed_charge":232.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]},{"allowed_amount":20.87,"providers":[{"billed_charge":53.3,"npi":[1073599478]},{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Massage therapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97124","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, inluding effleurage, petrissage and/or tapotement (stroking, compression, percussion)","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":225.0,"npi":[1184128845,1992023766]}]},{"allowed_amount":337.5,"providers":[{"billed_charge":337.5,"npi":[1992023766]}]},{"allowed_amount":233.58,"providers":[{"billed_charge":337.5,"npi":[1184128845,1992023766]}]}]},{"tin":{"type":"ein","value":"473915967"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.24,"providers":[{"billed_charge":23.33,"npi":[1255718623]}]}]},{"tin":{"type":"ein","value":"825299744"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.12,"providers":[{"billed_charge":169.0,"npi":[1881479897]}]},{"allowed_amount":169.0,"providers":[{"billed_charge":169.0,"npi":[1629949797,1770364614,1821972027,1881479897,1952197451]}]},{"allowed_amount":46.96,"providers":[{"billed_charge":169.0,"npi":[1881479897]}]},{"allowed_amount":133.44,"providers":[{"billed_charge":169.02,"npi":[1629949797,1770364614,1821972027,1952197451]},{"billed_charge":169.0,"npi":[1629949797,1770364614,1821972027,1881479897,1952197451]}]},{"allowed_amount":161.0,"providers":[{"billed_charge":169.0,"npi":[1770364614,1881479897]}]},{"allowed_amount":169.02,"providers":[{"billed_charge":169.02,"npi":[1629949797,1770364614,1821972027,1881479897,1952197451]}]}]},{"tin":{"type":"ein","value":"831314171"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.0,"providers":[{"billed_charge":140.0,"npi":[1548754278]}]},{"allowed_amount":88.96,"providers":[{"billed_charge":140.0,"npi":[1548754278]}]},{"allowed_amount":105.0,"providers":[{"billed_charge":140.0,"npi":[1548754278]}]},{"allowed_amount":200.0,"providers":[{"billed_charge":200.0,"npi":[1548754278]}]},{"allowed_amount":99.76,"providers":[{"billed_charge":200.0,"npi":[1548754278]}]}]},{"tin":{"type":"ein","value":"862477615"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":220.0,"npi":[1073298683,1538806104,1740072677]}]}]},{"tin":{"type":"ein","value":"931211162"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1578527859]}]},{"allowed_amount":115.0,"providers":[{"billed_charge":150.0,"npi":[1578527859]}]},{"allowed_amount":150.0,"providers":[{"billed_charge":150.0,"npi":[1578527859]}]}]},{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.0,"providers":[{"billed_charge":70.0,"npi":[]}]},{"allowed_amount":110.0,"providers":[{"billed_charge":110.0,"npi":[]}]},{"allowed_amount":142.95,"providers":[{"billed_charge":142.95,"npi":[]}]},{"allowed_amount":152.0,"providers":[{"billed_charge":152.0,"npi":[]}]},{"allowed_amount":72.0,"providers":[{"billed_charge":72.0,"npi":[]}]},{"allowed_amount":55.61,"providers":[{"billed_charge":103.5,"npi":[]},{"billed_charge":73.0,"npi":[]}]},{"allowed_amount":109.98,"providers":[{"billed_charge":109.98,"npi":[]}]},{"allowed_amount":80.0,"providers":[{"billed_charge":80.0,"npi":[]}]},{"allowed_amount":81.0,"providers":[{"billed_charge":81.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"036522980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":133.44,"providers":[{"billed_charge":185.0,"npi":[1932616935]}]},{"allowed_amount":44.48,"providers":[{"billed_charge":105.0,"npi":[1932616935]}]},{"allowed_amount":88.96,"providers":[{"billed_charge":110.0,"npi":[1932616935]},{"billed_charge":135.0,"npi":[1932616935]},{"billed_charge":145.0,"npi":[1932616935]}]}]},{"tin":{"type":"ein","value":"454925358"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":220.0,"providers":[{"billed_charge":400.0,"npi":[1699084988]}]},{"allowed_amount":210.0,"providers":[{"billed_charge":250.0,"npi":[1699084988]}]},{"allowed_amount":250.0,"providers":[{"billed_charge":250.0,"npi":[1699084988]},{"billed_charge":350.0,"npi":[1699084988]}]},{"allowed_amount":60.0,"providers":[{"billed_charge":200.0,"npi":[1699084988]}]},{"allowed_amount":200.0,"providers":[{"billed_charge":200.0,"npi":[1699084988]}]},{"allowed_amount":300.0,"providers":[{"billed_charge":300.0,"npi":[1699084988]}]},{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1699084988]}]},{"allowed_amount":400.0,"providers":[{"billed_charge":400.0,"npi":[1699084988]}]}]},{"tin":{"type":"ein","value":"541800544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":110.0,"providers":[{"billed_charge":250.0,"npi":[1033481361]}]},{"allowed_amount":250.0,"providers":[{"billed_charge":250.0,"npi":[1033481361]}]}]},{"tin":{"type":"ein","value":"800441575"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":110.0,"providers":[{"billed_charge":110.0,"npi":[1508134214,1548966203,1679829147]}]},{"allowed_amount":160.0,"providers":[{"billed_charge":160.0,"npi":[1255058368,1548966203,1679829147]}]}]},{"tin":{"type":"ein","value":"832167663"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":160.0,"npi":[1265242945,1265899967,1316496151,1356151989,1417372608,1417714353,1518785617,1609564376,1720951908,1770071250,1831741206,1972382083]}]},{"allowed_amount":95.0,"providers":[{"billed_charge":160.0,"npi":[1265242945]}]},{"allowed_amount":320.0,"providers":[{"billed_charge":320.0,"npi":[1518785617,1770071250]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[1831741206]}]},{"allowed_amount":160.0,"providers":[{"billed_charge":160.0,"npi":[1265242945,1316496151,1356151989,1417372608,1417714353,1518785617,1609564376,1770071250,1972382083]}]},{"allowed_amount":200.0,"providers":[{"billed_charge":200.0,"npi":[1265242945,1417372608,1417714353,1720951908]}]},{"allowed_amount":133.44,"providers":[{"billed_charge":240.0,"npi":[1265242945,1265899967,1316496151,1356151989,1417372608,1417714353,1518785617,1609564376,1770071250,1831741206,1972382083]}]},{"allowed_amount":177.92,"providers":[{"billed_charge":320.0,"npi":[1265242945,1265899967,1316496151,1417372608,1417714353,1518785617,1609564376]}]},{"allowed_amount":111.2,"providers":[{"billed_charge":200.0,"npi":[1417372608,1518785617]}]},{"allowed_amount":205.0,"providers":[{"billed_charge":240.0,"npi":[1770071250]}]},{"allowed_amount":240.0,"providers":[{"billed_charge":240.0,"npi":[1265242945,1265899967,1316496151,1417714353,1518785617,1609564376,1720951908,1770071250,1831741206,1972382083]}]}]},{"tin":{"type":"ein","value":"923933576"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.48,"providers":[{"billed_charge":130.0,"npi":[1811611072]}]},{"allowed_amount":133.44,"providers":[{"billed_charge":390.0,"npi":[1356982862]},{"billed_charge":360.0,"npi":[1356982862,1417253683]}]},{"allowed_amount":88.96,"providers":[{"billed_charge":240.0,"npi":[1417253683]}]},{"allowed_amount":66.72,"providers":[{"billed_charge":180.0,"npi":[1417253683,1811611072]}]}]},{"tin":{"type":"ein","value":"933563258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":480.0,"providers":[{"billed_charge":480.0,"npi":[1568806917]}]},{"allowed_amount":238.32,"providers":[{"billed_charge":238.32,"npi":[1568806917]}]},{"allowed_amount":240.0,"providers":[{"billed_charge":240.0,"npi":[1568806917]}]},{"allowed_amount":360.0,"providers":[{"billed_charge":360.0,"npi":[1568806917]}]}]},{"tin":{"type":"ein","value":"275262938"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":66.72,"providers":[{"billed_charge":165.0,"npi":[1225749260,1225873367,1417634338,1689042871,1982217329]}]},{"allowed_amount":88.96,"providers":[{"billed_charge":220.0,"npi":[1225749260,1689042871,1982217329]}]}]},{"tin":{"type":"ein","value":"333647042"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":168.0,"npi":[1891492484]}]}]},{"tin":{"type":"ein","value":"453692902"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":180.0,"providers":[{"billed_charge":180.0,"npi":[1598074973]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[1598074973]}]},{"allowed_amount":130.0,"providers":[{"billed_charge":150.0,"npi":[1598074973]}]},{"allowed_amount":150.0,"providers":[{"billed_charge":150.0,"npi":[1598074973]}]}]},{"tin":{"type":"ein","value":"463651468"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":160.0,"providers":[{"billed_charge":160.0,"npi":[1063849081]}]},{"allowed_amount":88.96,"providers":[{"billed_charge":160.0,"npi":[1063849081]}]},{"allowed_amount":240.0,"providers":[{"billed_charge":240.0,"npi":[1063849081]}]}]},{"tin":{"type":"ein","value":"545814886"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":160.0,"providers":[{"billed_charge":160.0,"npi":[1437387370]}]},{"allowed_amount":240.0,"providers":[{"billed_charge":240.0,"npi":[1437387370]}]},{"allowed_amount":60.0,"providers":[{"billed_charge":160.0,"npi":[1437387370]}]},{"allowed_amount":69.88,"providers":[{"billed_charge":240.0,"npi":[1437387370]}]},{"allowed_amount":220.0,"providers":[{"billed_charge":240.0,"npi":[1437387370]}]}]},{"tin":{"type":"ein","value":"814912147"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":133.44,"providers":[{"billed_charge":210.0,"npi":[1194547570,1356161517,1407696800,1841989639,1942023718]}]},{"allowed_amount":88.96,"providers":[{"billed_charge":140.0,"npi":[1194547570,1356161517,1407696800,1841989639,1942023718]}]},{"allowed_amount":140.0,"providers":[{"billed_charge":140.0,"npi":[1356161517,1407696800,1841989639,1942023718]}]},{"allowed_amount":210.0,"providers":[{"billed_charge":210.0,"npi":[1356161517,1841989639,1942023718]}]}]},{"tin":{"type":"ein","value":"823917690"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1245828201]}]},{"allowed_amount":125.0,"providers":[{"billed_charge":125.0,"npi":[1245828201]}]},{"allowed_amount":88.96,"providers":[{"billed_charge":200.0,"npi":[1245828201,1972856235]}]},{"allowed_amount":150.0,"providers":[{"billed_charge":150.0,"npi":[1245828201]}]}]},{"tin":{"type":"ein","value":"825077145"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":240.0,"npi":[1578278248]},{"billed_charge":200.0,"npi":[1578278248]}]},{"allowed_amount":360.0,"providers":[{"billed_charge":360.0,"npi":[1023816634,1437667086,1548914468,1578278248,1700397510,1740027457]}]},{"allowed_amount":133.44,"providers":[{"billed_charge":300.0,"npi":[1548914468,1578278248]}]},{"allowed_amount":200.0,"providers":[{"billed_charge":200.0,"npi":[1013627736,1023816634,1437667086,1578278248,1700397510,1740027457]}]},{"allowed_amount":240.0,"providers":[{"billed_charge":240.0,"npi":[1245877265,1437667086,1518192848,1548914468,1578278248,1700397510,1740027457]}]},{"allowed_amount":300.0,"providers":[{"billed_charge":300.0,"npi":[1023816634,1053132670,1245877265,1578278248,1629822432,1740027457]}]}]},{"tin":{"type":"ein","value":"831569224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":220.0,"npi":[1346999224,1811442817]}]},{"allowed_amount":133.44,"providers":[{"billed_charge":270.0,"npi":[1811442817,1912604729]},{"billed_charge":330.0,"npi":[1811442817]}]}]},{"tin":{"type":"ein","value":"833499145"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":115.0,"npi":[1750884102]},{"billed_charge":110.0,"npi":[1750884102]}]},{"allowed_amount":44.48,"providers":[{"billed_charge":65.0,"npi":[1750884102]}]},{"allowed_amount":54.56,"providers":[{"billed_charge":115.0,"npi":[1750884102]}]},{"allowed_amount":133.44,"providers":[{"billed_charge":165.0,"npi":[1750884102]}]}]},{"tin":{"type":"ein","value":"833695159"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":150.0,"providers":[{"billed_charge":150.0,"npi":[]}]},{"allowed_amount":200.0,"providers":[{"billed_charge":200.0,"npi":[]}]},{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"176596295"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.0,"providers":[{"billed_charge":140.0,"npi":[1619109568]}]},{"allowed_amount":160.0,"providers":[{"billed_charge":160.0,"npi":[1619109568]}]}]},{"tin":{"type":"ein","value":"204112169"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":360.0,"npi":[1275342750,1467261941,1467332676]}]},{"allowed_amount":44.48,"providers":[{"billed_charge":180.0,"npi":[1467261941,1467332676]}]}]},{"tin":{"type":"ein","value":"455076708"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":200.0,"npi":[1568268571,1750274544]}]}]},{"tin":{"type":"ein","value":"462071391"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.0,"providers":[{"billed_charge":85.0,"npi":[1033939335,1700591054,1720872799,1922981877]}]},{"allowed_amount":133.44,"providers":[{"billed_charge":140.0,"npi":[1700591054,1720872799,1922981877]}]},{"allowed_amount":140.0,"providers":[{"billed_charge":140.0,"npi":[1700591054,1922981877]}]}]},{"tin":{"type":"ein","value":"540157638"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":180.0,"providers":[{"billed_charge":180.0,"npi":[1013227990]}]},{"allowed_amount":270.0,"providers":[{"billed_charge":270.0,"npi":[1013227990]}]}]},{"tin":{"type":"ein","value":"871422782"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":225.0,"npi":[1164087763]}]},{"allowed_amount":150.0,"providers":[{"billed_charge":150.0,"npi":[1164087763]}]},{"allowed_amount":180.0,"providers":[{"billed_charge":180.0,"npi":[1164087763]}]}]}]},{"name":"Massage therapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97124GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Massage","allowed_amounts":[{"tin":{"type":"ein","value":"127589916"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":180.0,"providers":[{"billed_charge":180.0,"npi":[1457743403]}]}]},{"tin":{"type":"ein","value":"812177137"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":260.0,"npi":[1477835965]}]},{"allowed_amount":155.72,"providers":[{"billed_charge":215.0,"npi":[1477835965]},{"billed_charge":260.0,"npi":[1477835965]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":113.4,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":93.6,"npi":[1073599478]},{"billed_charge":135.45,"npi":[]},{"billed_charge":140.7,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":24.62,"npi":[1073599478]},{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":75.6,"npi":[]}]},{"allowed_amount":7.43,"providers":[{"billed_charge":73.62,"npi":[1073599478]},{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":82.79,"npi":[1073599478]},{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":138.38,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]},{"billed_charge":254.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.15,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.92,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1255496808]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":626.0,"npi":[1871613802]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":176.92,"npi":[1538819347]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":176.92,"npi":[1538819347,1780251132]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"205211187"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.32,"providers":[{"billed_charge":175.0,"npi":[1740320332]}]}]},{"tin":{"type":"ein","value":"534501641"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.32,"providers":[{"billed_charge":200.0,"npi":[1093862096]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834GT","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"272253771"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":149.21,"providers":[{"billed_charge":230.0,"npi":[1558403089]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"831534267"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":181.0,"npi":[1942601984]}]}]},{"tin":{"type":"ein","value":"872475176"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1518611441]}]}]},{"tin":{"type":"ein","value":"825509639"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":250.0,"npi":[1427493675]}]}]},{"tin":{"type":"ein","value":"844264189"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":79.29,"providers":[{"billed_charge":300.0,"npi":[1093145724]}]}]},{"tin":{"type":"ein","value":"844582670"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":1008.0,"npi":[1316066962]}]}]},{"tin":{"type":"ein","value":"861826692"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1669971461]}]}]},{"tin":{"type":"ein","value":"831534267"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":162.31,"npi":[1942601984]},{"billed_charge":181.0,"npi":[1942601984]}]}]},{"tin":{"type":"ein","value":"861826692"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1548644990,1669971461]}]}]},{"tin":{"type":"ein","value":"452991509"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":175.0,"npi":[1437520814]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":294.38,"npi":[1144947417]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":294.38,"npi":[1144947417,1609682905,1871073858]},{"billed_charge":304.16,"npi":[1821767757]}]}]},{"tin":{"type":"ein","value":"834476078"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":175.0,"npi":[1538600663]}]},{"allowed_amount":112.35,"providers":[{"billed_charge":175.0,"npi":[1538600663]}]}]},{"tin":{"type":"ein","value":"872475176"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1518611441,1790331858]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","description":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"270437701"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":119.39,"providers":[{"billed_charge":202.82,"npi":[1659509784]}]}]}]},{"name":"Mental professional child IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":286.0,"npi":[1578966362]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"813124438"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.01,"providers":[{"billed_charge":180.0,"npi":[1487002622]}]},{"allowed_amount":126.35,"providers":[{"billed_charge":180.0,"npi":[1487002622]}]}]},{"tin":{"type":"ein","value":"874516482"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.67,"providers":[{"billed_charge":175.0,"npi":[1184974669]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]},{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":46.65,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":34.88,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":126.45,"npi":[]}]}]}]},{"name":"Obesity endorsement lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Obesity endorsement lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.0,"providers":[{"billed_charge":17.0,"npi":[1922114313,1982340816]}]},{"allowed_amount":12.36,"providers":[{"billed_charge":16.0,"npi":[1225416266]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.7,"providers":[{"billed_charge":437.0,"npi":[1215596465]}]},{"allowed_amount":142.0,"providers":[{"billed_charge":437.0,"npi":[1790707362]}]}]},{"tin":{"type":"ein","value":"824794684"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":299.51,"npi":[1205656592,1457173320]}]}]},{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1366925109,1558746131,1598003428]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"824794684"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":149.41,"providers":[{"billed_charge":299.51,"npi":[1205656592]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1780251132]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1578061883,1588274864,1962689695]},{"billed_charge":418.0,"npi":[1144937442,1386002038,1508499955,1609395102,1689730616,1891492773,1962689695]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"911336707"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":261.21,"providers":[{"billed_charge":302.0,"npi":[1760724892]}]}]},{"tin":{"type":"ein","value":"824794684"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":299.51,"npi":[1205656592,1457173320]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":378.59,"providers":[{"billed_charge":461.0,"npi":[1811194947]}]},{"allowed_amount":215.06,"providers":[{"billed_charge":485.0,"npi":[1811194947]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":478.32,"providers":[{"billed_charge":579.0,"npi":[1316031255,1790047868]}]},{"allowed_amount":238.86,"providers":[{"billed_charge":614.0,"npi":[1518210319,1528948734,1649802232]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":275.37,"providers":[{"billed_charge":579.0,"npi":[1336568484]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":20.0,"npi":[1770619892]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140","description":"Manual therapy techniques (eg, mobilization/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"545814886"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":240.0,"npi":[1437387370]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1437768306,1710402516,1851882724]}]},{"allowed_amount":113.97,"providers":[{"billed_charge":125.0,"npi":[1710402516]},{"billed_charge":120.0,"npi":[1609104496]},{"billed_charge":117.5,"npi":[1437768306]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":43.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":35.03,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":33.0,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":53.55,"npi":[1073599478]},{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":48.3,"npi":[]},{"billed_charge":52.5,"npi":[1073599478]},{"billed_charge":51.43,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1891731626]}]},{"allowed_amount":17.28,"providers":[{"billed_charge":100.75,"npi":[1891731626]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.91,"providers":[{"billed_charge":169.43,"npi":[1891731626]}]},{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1891731626]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1073590683,1285324756,1356331060,1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.73,"providers":[{"billed_charge":107.1,"npi":[]}]},{"allowed_amount":9.93,"providers":[{"billed_charge":62.75,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":65.21,"npi":[1073599478]},{"billed_charge":47.75,"npi":[1073599478]},{"billed_charge":51.0,"npi":[1073599478]},{"billed_charge":106.39,"npi":[1073599478]},{"billed_charge":106.7,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":118.65,"npi":[1750368700]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1073590683,1285324756,1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]},{"billed_charge":110.03,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1073590683,1285324756,1356331060,1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1073590683,1285324756]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1073590683,1285324756,1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1073590683,1285324756,1356331060,1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.89,"providers":[{"billed_charge":226.8,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":33.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":28.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":118.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":70.18,"providers":[{"billed_charge":120.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":94.74,"providers":[{"billed_charge":180.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":34.91,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.31,"providers":[{"billed_charge":30.31,"npi":[1073599478]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":125.07,"npi":[]},{"billed_charge":86.5,"npi":[]},{"billed_charge":137.28,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":112.35,"npi":[1073599478]},{"billed_charge":125.07,"npi":[]},{"billed_charge":129.15,"npi":[1073599478]},{"billed_charge":70.95,"npi":[1073599478]},{"billed_charge":156.26,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":102.75,"npi":[]},{"billed_charge":232.08,"npi":[]},{"billed_charge":233.17,"npi":[]},{"billed_charge":131.92,"npi":[]}]},{"allowed_amount":63.65,"providers":[{"billed_charge":102.75,"npi":[]},{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":102.93,"npi":[]},{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":10.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":23.0,"npi":[1578504957]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":96.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":55.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":37.0,"npi":[1578504957]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.28,"npi":[]},{"billed_charge":86.52,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":238.68,"npi":[]}]}]}]},{"name":"Speech therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92526GN","description":"Treatment, Swallowing Dysfunction &/Or Oral Function, Feeding","allowed_amounts":[{"tin":{"type":"ein","value":"810573761"},"service_code":["03"],"billing_class":"professional","payments":[{"allowed_amount":116.31,"providers":[{"billed_charge":138.0,"npi":[1861618936]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80323","description":"Alkaloids, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"912180910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":48.24,"providers":[{"billed_charge":65.0,"npi":[1821092297]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":151.2,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80355","description":"Gabapentin, non-blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":6.88,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":95.04,"providers":[{"billed_charge":118.8,"npi":[1073699880]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":143.97,"providers":[{"billed_charge":210.0,"npi":[1417390287,1497167720]}]},{"allowed_amount":47.99,"providers":[{"billed_charge":70.0,"npi":[1417390287,1497167720,1730679986,1790980837]}]},{"allowed_amount":191.96,"providers":[{"billed_charge":280.0,"npi":[1417390287]}]},{"allowed_amount":95.98,"providers":[{"billed_charge":140.0,"npi":[1417390287,1497167720,1790980837]}]}]},{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.82,"providers":[{"billed_charge":71.0,"npi":[1124287198,1518926864,1659301554,1689164832,1871630350]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":155.27,"providers":[{"billed_charge":441.0,"npi":[1346902202]}]}]},{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]},{"billed_charge":330.0,"npi":[1114798071]},{"billed_charge":430.0,"npi":[1114798071]},{"billed_charge":350.0,"npi":[1114798071]}]}]},{"tin":{"type":"ein","value":"200277709"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":193.0,"providers":[{"billed_charge":534.0,"npi":[1326790858]}]}]}]},{"name":"Urgent care xray non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":19.66,"providers":[{"billed_charge":29.09,"npi":[1659682573]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"930593725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":39.0,"npi":[1497787485]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.67,"providers":[{"billed_charge":28.36,"npi":[1417154683]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.38,"providers":[{"billed_charge":2.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":54.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97010","description":"Application of a modality to 1 or more areas; hot or cold packs","allowed_amounts":[{"tin":{"type":"ein","value":"832167663"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.82,"providers":[{"billed_charge":40.0,"npi":[1770071250]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.43,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chemical office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1144878810]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.42,"providers":[{"billed_charge":926.0,"npi":[1699782722]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911911869"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":18.88,"providers":[{"billed_charge":38.0,"npi":[1700825817]}]},{"allowed_amount":17.91,"providers":[{"billed_charge":38.0,"npi":[1366615221]}]}]},{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":874.0,"npi":[1831725894]}]}]},{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1144795709,1497218036]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":737.0,"npi":[1366055113]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":398.0,"npi":[1740613314]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":31.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.67,"npi":[1932184322]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1386002038,1558916049,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":43.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1386002038,1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":206.15,"npi":[1073599478]},{"billed_charge":63.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.9,"providers":[{"billed_charge":228.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":15.23,"npi":[1073599478]},{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1386002038,1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]},{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":37.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":37.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1386002038,1558916049,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":168.0,"providers":[{"billed_charge":1359.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":94.5,"npi":[1073599478]},{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":297.5,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":28.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87045","description":"Culture, Bacterial; Feces W/Isolation & Preliminary Exam, Salmonella & Shigella Species","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":38.12,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":112.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":111.37,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8765359","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":501.79,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":101.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":111.63,"providers":[{"billed_charge":300.0,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":220.51,"npi":[]}]},{"allowed_amount":64.61,"providers":[{"billed_charge":220.51,"npi":[]},{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97032","description":"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.7,"providers":[{"billed_charge":40.0,"npi":[1184128845,1992023766]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9711059","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","allowed_amounts":[{"tin":{"type":"ein","value":"845041605"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.6,"providers":[{"billed_charge":116.84,"npi":[1467225920]}]},{"allowed_amount":122.4,"providers":[{"billed_charge":175.26,"npi":[1467225920,1649717695]}]},{"allowed_amount":163.2,"providers":[{"billed_charge":233.68,"npi":[1467225920]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.53,"providers":[{"billed_charge":71.0,"npi":[1780327106]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.53,"providers":[{"billed_charge":58.75,"npi":[1811218720]}]},{"allowed_amount":105.06,"providers":[{"billed_charge":107.5,"npi":[1609104496]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":277.05,"npi":[1073599478]},{"billed_charge":131.65,"npi":[1073599478]},{"billed_charge":129.8,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":254.4,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":57.0,"npi":[1073599478]},{"billed_charge":112.35,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":29.21,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.99,"providers":[{"billed_charge":70.0,"npi":[1417390287,1497167720,1790980837]}]},{"allowed_amount":287.94,"providers":[{"billed_charge":420.0,"npi":[1790980837]}]},{"allowed_amount":95.98,"providers":[{"billed_charge":140.0,"npi":[1417390287,1497167720]}]},{"allowed_amount":143.97,"providers":[{"billed_charge":210.0,"npi":[1417390287]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7685626","description":"Echography, Pelvic (Nonobstetric), B-Scan &/Or Real Time W/Image Documentation; Complete","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":112.0,"npi":[1487729281]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7126026","description":"Computed tomography, thorax, diagnostic; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":228.53,"providers":[{"billed_charge":502.0,"npi":[1528197795]}]}]}]},{"name":"DME compression stockings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530NU","description":"Compression stocking BK18-30","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[1891728697]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":962.0,"npi":[1144942277]}]}]},{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":424.2,"npi":[1427582519,1629307533,1700175239,1831904184]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1053010876,1144942277,1285861989]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1184156572,1447370168,1811994668]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":17.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1588274864]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.7,"providers":[{"billed_charge":18.0,"npi":[1902268238]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":30.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":47.75,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1588274864]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1588274864]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":48.73,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1588274864]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1588274864]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83013","description":"H. Pylori; Analysis For Urease Activity, Non-Radioactive Isotope","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.0,"providers":[{"billed_charge":340.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.68,"providers":[{"billed_charge":1011.88,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":61.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":163.72,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1588274864]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":199.34,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":108.07,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87328","description":"Crytosporidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":143.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":72.14,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":65.95,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]},{"allowed_amount":3.87,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":43.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.01,"providers":[{"billed_charge":30.88,"npi":[]}]},{"allowed_amount":6.1,"providers":[{"billed_charge":90.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":356.81,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":39.5,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"844944161"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":180.0,"npi":[1366927220]}]}]},{"tin":{"type":"ein","value":"844944161"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":250.0,"npi":[1396114955]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":45.0,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.76,"providers":[{"billed_charge":163.37,"npi":[]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.36,"providers":[{"billed_charge":16.0,"npi":[1538335252,1841723475]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":259.83,"providers":[{"billed_charge":490.0,"npi":[1346098548]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":116.09,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":181.45,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.73,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":69.3,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036QW","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.91,"providers":[{"billed_charge":23.0,"npi":[1184156572]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":118.65,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":39.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":59.03,"npi":[]},{"billed_charge":137.28,"npi":[1073599478]},{"billed_charge":72.79,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":54.58,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":112.35,"npi":[1295726032]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":24.58,"providers":[{"billed_charge":41.0,"npi":[1639406705,1770291486]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1962931204]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.68,"providers":[{"billed_charge":3.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.68,"providers":[{"billed_charge":3.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.68,"providers":[{"billed_charge":3.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":61.87,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":79.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":3.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":206.66,"providers":[{"billed_charge":411.0,"npi":[1437130143]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":228.0,"npi":[]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.42,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":134.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.78,"providers":[{"billed_charge":123.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":195.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87045","description":"Culture, Bacterial; Feces W/Isolation & Preliminary Exam, Salmonella & Shigella Species","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87427","description":"Shiga-like toxin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":96.29,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1174575716,1780096891]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.7,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.88,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":155.27,"providers":[{"billed_charge":558.0,"npi":[1609496645]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9930925","description":"Subsequent nursing FAC, per day, for the E/M of pt, req. a medically apt history and/or Ex and moderate level of medical decision making. Total time of the encounter, 30 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":103.67,"providers":[{"billed_charge":306.0,"npi":[1013203652]}]},{"allowed_amount":102.89,"providers":[{"billed_charge":306.0,"npi":[1013203652]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":95.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":206.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"CT Scan, Head or Brain; Without Contrast Material","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":125.0,"npi":[1164409868]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":962.0,"npi":[1144942277,1750511168]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":120.33,"npi":[]},{"billed_charge":94.51,"npi":[]},{"billed_charge":70.19,"npi":[]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":9.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.25,"providers":[{"billed_charge":9.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":231.51,"npi":[]},{"billed_charge":197.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":168.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":45.23,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":102.0,"npi":[1073599478]},{"billed_charge":197.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":130.2,"npi":[1073599478]}]},{"allowed_amount":99.06,"providers":[{"billed_charge":819.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":131.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":30.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":96.34,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[]},{"billed_charge":112.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.79,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":144.14,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]},{"allowed_amount":156.89,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":101.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":101.81,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":48.73,"npi":[1073599478]},{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":21.19,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":28.56,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":192.27,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":46.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.21,"npi":[1073599478]},{"billed_charge":160.51,"npi":[]},{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":355.95,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":136.72,"providers":[{"billed_charge":290.0,"npi":[1871596346]}]}]},{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1275961765]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":167.69,"providers":[{"billed_charge":167.69,"npi":[]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4357KX","description":"Bedside Drainage Bag","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11.26,"providers":[{"billed_charge":14.0,"npi":[1639160708]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99309","description":"Subsequent nursing FAC, per day, for the E/M of pt, req. a medically apt history and/or Ex and moderate level of medical decision making. Total time of the encounter, 30 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":102.89,"providers":[{"billed_charge":306.0,"npi":[1013203652]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.9,"providers":[{"billed_charge":105.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1770272148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1770272148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":177.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1770272148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional child residential","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","description":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":111.96,"providers":[{"billed_charge":292.0,"npi":[1013203652]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1073590683]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":43.75,"npi":[1851882724]},{"billed_charge":62.5,"npi":[1437768306]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1437768306]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":53.75,"npi":[1437768306,1811218720]}]},{"allowed_amount":87.5,"providers":[{"billed_charge":87.5,"npi":[1437768306]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.87,"providers":[{"billed_charge":220.0,"npi":[1922452515]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7685626","description":"Echography, Pelvic (Nonobstetric), B-Scan &/Or Real Time W/Image Documentation; Complete","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":112.0,"npi":[1487729281]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1447755699]}]}]},{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1629224373]}]},{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1285055384,1295722403]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"DME tens unit rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0730RR","description":"Tens Four Lead","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":20.65,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":54.9,"providers":[{"billed_charge":54.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1497765291]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1750368700]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":103.12,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":149.28,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":31.0,"npi":[1831600048]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"508110172"},"service_code":["10","02"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":185.0,"npi":[1265666440]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":68.0,"npi":[1780327106]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":93.8,"providers":[{"billed_charge":100.0,"npi":[1609104496,1710402516]}]},{"allowed_amount":92.5,"providers":[{"billed_charge":92.5,"npi":[1710402516]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]},{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77412","description":"Radiation delivery Level 3: multiple isocenters photon therapy (2D/3D/IMRT) or single-isocenter w/motion management, total skin electrons, or mixed fields; includes imaging","allowed_amounts":[{"tin":{"type":"ein","value":"752131429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.01,"providers":[{"billed_charge":700.0,"npi":[1881631356]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":87.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":41.13,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and straightforward decision making. Ttl time on the date of the encounter = 10 min","allowed_amounts":[{"tin":{"type":"ein","value":"930940205"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":82.5,"providers":[{"billed_charge":82.5,"npi":[1013085836]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","description":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"930940205"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.5,"providers":[{"billed_charge":137.5,"npi":[1013085836]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":186.88,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1427510700]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":37.6,"npi":[1073599478]},{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":187.53,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":168.19,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":67.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":61.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87497","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.43,"providers":[{"billed_charge":463.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.64,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":589.5,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]}]},{"name":"Office service or supply","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1555","description":"Injection, immune globulin (Cuvitru), 100 mg","allowed_amounts":[{"tin":{"type":"ein","value":"203948683"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1658.53,"providers":[{"billed_charge":8573.04,"npi":[1245503648]}]},{"allowed_amount":1888.0,"providers":[{"billed_charge":8573.04,"npi":[1245503648]}]},{"allowed_amount":1683.8,"providers":[{"billed_charge":8573.04,"npi":[1245503648]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.23,"providers":[{"billed_charge":4.23,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]},{"billed_charge":112.69,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":164.79,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.57,"providers":[{"billed_charge":332.85,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":79.87,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":4.13,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":82.43,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":159.51,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":149.1,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1184286031]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":64.08,"npi":[1073599478]}]},{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":232.06,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140XS","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"392837285"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":240.0,"npi":[1194480699]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":60.56,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Contraceptive office visit/ family planning","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":203.0,"npi":[1487321329]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":53.01,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1073590683,1083141196]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":57.02,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1073590683,1083141196]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":120.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":69.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1073590683,1083141196]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1073590683,1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1073590683,1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1073590683,1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":74.55,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.46,"providers":[{"billed_charge":94.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.01,"providers":[{"billed_charge":28.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":206.49,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":68.0,"npi":[1780327106]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":66.0,"npi":[1780327106]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":53.75,"npi":[1710402516]}]},{"allowed_amount":93.8,"providers":[{"billed_charge":107.5,"npi":[1710402516]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":56.19,"npi":[]},{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":127.15,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":202.49,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":95.04,"providers":[{"billed_charge":118.8,"npi":[1427476761]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"834204802"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":202.24,"providers":[{"billed_charge":326.0,"npi":[1518170042]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93298TC","description":"Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":79.82,"providers":[{"billed_charge":110.0,"npi":[1124678263]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":429.78,"npi":[1609858729]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":53.01,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":24.37,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80361","description":"Opiates, 1 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9338","description":"Home infusion therapy, immunotherapy therapy","allowed_amounts":[{"tin":{"type":"ein","value":"203948683"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":49.07,"providers":[{"billed_charge":250.0,"npi":[1245503648]}]},{"allowed_amount":47.41,"providers":[{"billed_charge":250.0,"npi":[1245503648]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.66,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.95,"providers":[{"billed_charge":112.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.73,"providers":[{"billed_charge":50.0,"npi":[1659655124]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]}]},{"name":"Office service or supply","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1555","description":"Injection, immune globulin (Cuvitru), 100 mg","allowed_amounts":[{"tin":{"type":"ein","value":"203948683"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1625.87,"providers":[{"billed_charge":8573.04,"npi":[1245503648]}]},{"allowed_amount":1682.83,"providers":[{"billed_charge":8573.04,"npi":[1245503648]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.65,"providers":[{"billed_charge":228.0,"npi":[1306563317]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":292.22,"providers":[{"billed_charge":336.0,"npi":[1538368360]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.88,"providers":[{"billed_charge":37.8,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":105.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"464434157"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":2356.2,"npi":[1801204482]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":79.67,"providers":[{"billed_charge":186.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1457408601]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1457408601]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7685626","description":"Echography, Pelvic (Nonobstetric), B-Scan &/Or Real Time W/Image Documentation; Complete","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":112.0,"npi":[1487729281]}]}]}]},{"name":"Chemical lab","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0048","description":"Alcohol And/Or Other Drug Testing: Collection And Handling Only, Specimens Other Than Blood","allowed_amounts":[{"tin":{"type":"ein","value":"811453666"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.03,"providers":[{"billed_charge":100.0,"npi":[1831144872]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1518402783]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":286.0,"npi":[1205283462,1538551445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.34,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":53.01,"npi":[]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1497723704]}]},{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1063450120]}]}]},{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1558843326]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":53.01,"npi":[]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":242.61,"providers":[{"billed_charge":560.7,"npi":[1073599478]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731QZ","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1730281502]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"770465765"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":398.11,"providers":[{"billed_charge":422.0,"npi":[1013413913,1164884284,1578527008,1609371384,1649665795,1699989939,1730522871,1891145264,1962152579]}]}]},{"tin":{"type":"ein","value":"852465005"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":131.77,"providers":[{"billed_charge":239.0,"npi":[1427096452,1740243930,1982857462]}]},{"allowed_amount":101.36,"providers":[{"billed_charge":239.0,"npi":[1790963726]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":89.47,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":37.31,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":92.79,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":189.35,"npi":[]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1649408055]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1035.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":134.42,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":138.38,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":138.37,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":126.45,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":63.43,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9328","description":"Home infusion therapy, implanted pump pain management infusion","allowed_amounts":[{"tin":{"type":"ein","value":"640913966"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":540.0,"providers":[{"billed_charge":1800.0,"npi":[1336243393]}]},{"allowed_amount":576.0,"providers":[{"billed_charge":1920.0,"npi":[1336243393]}]},{"allowed_amount":1080.0,"providers":[{"billed_charge":3600.0,"npi":[1336243393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.42,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.64,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.2,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911019392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":164.0,"npi":[1164195038]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80323","description":"Alkaloids, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"912180910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":48.24,"providers":[{"billed_charge":65.0,"npi":[1821092297]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":468.0,"providers":[{"billed_charge":810.0,"npi":[1043531999]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":53.01,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80360","description":"Methylphenidate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]},{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":28.3,"npi":[1447665971]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.77,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1376510008,1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Occupational therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GO","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Therapeutic Exercises","allowed_amounts":[{"tin":{"type":"ein","value":"201008626"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.6,"providers":[{"billed_charge":174.0,"npi":[1750915815]}]},{"allowed_amount":40.8,"providers":[{"billed_charge":87.0,"npi":[1750915815]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1376510008]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1487635371,1922452515]}]},{"allowed_amount":265.32,"providers":[{"billed_charge":480.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1659301554]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"200277709"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":187.0,"providers":[{"billed_charge":534.0,"npi":[1295131514]}]}]},{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":330.0,"npi":[1114798071]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"911787654"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":58.0,"npi":[1588325260]},{"billed_charge":67.0,"npi":[1770655342]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1497218036]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9338","description":"Home infusion therapy, immunotherapy therapy","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":59.0,"providers":[{"billed_charge":897.11,"npi":[1386674067]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"770465765"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":398.11,"providers":[{"billed_charge":422.0,"npi":[1336535889,1447351747,1649665795]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.8,"providers":[{"billed_charge":252.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":111.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1437135886]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"508110172"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":185.0,"npi":[1265666440]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":361.2,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":361.2,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":387.0,"providers":[{"billed_charge":430.0,"npi":[1487668893]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":82.95,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.4,"providers":[{"billed_charge":212.1,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":198.45,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":105.0,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1558604728]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":228.0,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":384.99,"providers":[{"billed_charge":384.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.34,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":240.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1124032511]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1952537060]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1952830416]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731QZ","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1063450120]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1427458231]}]}]},{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1942775721]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930798039"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":123.28,"providers":[{"billed_charge":336.0,"npi":[1629273941,1649856469]},{"billed_charge":304.0,"npi":[1417362104,1619556719,1962817478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":154.0,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":129.24,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":602.0,"npi":[1104093665]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":275.0,"npi":[1437144078,1497494157]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":280.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":205.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85730","description":"Thromboplastin Time, Partial (Ptt); Plasma/Whole Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.44,"providers":[{"billed_charge":65.94,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":150.82,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":114.3,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":206.85,"npi":[1073599478]},{"billed_charge":56.5,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":602.0,"npi":[1235392473,1619409786,1861997280]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":192.85,"providers":[{"billed_charge":400.0,"npi":[1588218929]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"931331676"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":210.12,"providers":[{"billed_charge":376.84,"npi":[1407700933]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":91.91,"npi":[1861093494]}]},{"allowed_amount":105.06,"providers":[{"billed_charge":188.42,"npi":[1861093494]}]},{"allowed_amount":157.59,"providers":[{"billed_charge":282.63,"npi":[1407700933,1861093494]},{"billed_charge":275.73,"npi":[1831699008,1861093494]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":96.6,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":130.21,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":270.0,"npi":[1548400682,1598493009,1740024298]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":580.79,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":201.15,"npi":[1346498755]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1922720747]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1427458231]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"CT Scan, Head or Brain; Without Contrast Material","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":125.0,"npi":[1033377643]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":106.03,"providers":[{"billed_charge":400.0,"npi":[1336446756,1700407574]}]},{"allowed_amount":206.66,"providers":[{"billed_charge":411.0,"npi":[1063487312]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":50.81,"npi":[1073599478]},{"billed_charge":76.82,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":80.59,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":232.06,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":57.61,"npi":[]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":640.0,"npi":[1942775721]}]},{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1720697501]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.26,"providers":[{"billed_charge":117.7,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"832416621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":104.69,"providers":[{"billed_charge":227.7,"npi":[1114442365]}]},{"allowed_amount":30.0,"providers":[{"billed_charge":75.9,"npi":[1114442365]}]},{"allowed_amount":34.9,"providers":[{"billed_charge":75.9,"npi":[1114442365]}]},{"allowed_amount":60.0,"providers":[{"billed_charge":151.8,"npi":[1114442365]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":79.07,"npi":[]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7356226","description":"Radiologic examination, knee; 3 views","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":18.09,"providers":[{"billed_charge":28.0,"npi":[1427552306,1669422416]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":134.4,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1558611822]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":195.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":256.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":84.24,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":131.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":102.67,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1437135886]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":443.02,"providers":[{"billed_charge":538.0,"npi":[1003840398]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"922959598"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":150.0,"npi":[1487813309]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.24,"providers":[{"billed_charge":434.7,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1972828333]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"844944161"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":250.0,"npi":[1396114955]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":196.24,"providers":[{"billed_charge":392.48,"npi":[1235620238]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7126026","description":"Computed tomography, thorax, diagnostic; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":228.53,"providers":[{"billed_charge":502.0,"npi":[1851308563]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"911113645"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.72,"providers":[{"billed_charge":55.0,"npi":[1407936586]}]}]},{"tin":{"type":"ein","value":"912046481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.72,"providers":[{"billed_charge":55.0,"npi":[1538591995]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9894359","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"911113645"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.34,"providers":[{"billed_charge":40.0,"npi":[1407936586]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.26,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.22,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.57,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":144.52,"providers":[{"billed_charge":210.56,"npi":[1245198084]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"844944161"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":300.0,"npi":[1366927220]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"844944161"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":180.0,"npi":[1366927220]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":51.0,"npi":[]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.86,"providers":[{"billed_charge":3.86,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.82,"providers":[{"billed_charge":3.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.82,"providers":[{"billed_charge":3.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":94.2,"npi":[]}]},{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":122.85,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":54.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.82,"providers":[{"billed_charge":3.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":44.55,"npi":[1073599478]},{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.57,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.04,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.84,"providers":[{"billed_charge":614.0,"npi":[1003071598]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1013097096]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.52,"providers":[{"billed_charge":18.0,"npi":[1366095754]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":99.25,"npi":[]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"922959598"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":150.0,"npi":[1316216369]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"454298417"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":223.95,"providers":[{"billed_charge":575.0,"npi":[1225065998]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.55,"providers":[{"billed_charge":33.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":150.82,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":94.44,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":157.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":131.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.73,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":250.89,"providers":[{"billed_charge":385.99,"npi":[1689639544]}]}]}]},{"name":"Mammography age 50 and over","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":54.29,"providers":[{"billed_charge":81.61,"npi":[1356360192]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9084795","description":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"843115837"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":97.5,"providers":[{"billed_charge":185.0,"npi":[1184271678]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":43.05,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":138.38,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":138.37,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":126.45,"npi":[]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1598971038]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":102.93,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":48.73,"npi":[1073599478]},{"billed_charge":39.99,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"844944161"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":180.0,"npi":[1366927220]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.72,"providers":[{"billed_charge":97.6,"npi":[1588922231]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99245","description":"Office or other OP consult for new or est. patient, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":943.35,"providers":[{"billed_charge":993.0,"npi":[1467870139]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":13.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8239759","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.9,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":138.6,"npi":[]},{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":212.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.1,"providers":[{"billed_charge":38.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":180.25,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.14,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.59,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.22,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":254.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.38,"npi":[]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":6.0,"npi":[1811671449]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1134150758]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.98,"providers":[{"billed_charge":8.4,"npi":[1073545117]}]},{"allowed_amount":3.99,"providers":[{"billed_charge":4.2,"npi":[1467744706]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":118.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":55.0,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":110.0,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"843506537"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":200.0,"npi":[1851841969]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1568459816]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1215596465]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":192.58,"providers":[{"billed_charge":275.1,"npi":[1841678547]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":2461.65,"npi":[1528177151]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":77.7,"npi":[1538144910]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"202281664"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":162.45,"providers":[{"billed_charge":250.0,"npi":[1487620266]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":145.35,"providers":[{"billed_charge":226.0,"npi":[1316478183]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":117.52,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":45.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85730","description":"Thromboplastin Time, Partial (Ptt); Plasma/Whole Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.52,"providers":[{"billed_charge":65.35,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":125.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.85,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16.63,"providers":[{"billed_charge":35.0,"npi":[1932632304]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":114.63,"providers":[{"billed_charge":1813.84,"npi":[1750423539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":63.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":105.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":505.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":90.97,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.57,"providers":[{"billed_charge":830.97,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9940695","description":"Smoking and Tobacco Use Cessation Counseling Visit; Intermediate, Greater than 3 Minutes up to 10 Minutes","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":28.81,"providers":[{"billed_charge":30.0,"npi":[1689083438]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":113.63,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":360.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":250.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":46.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":59.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":94.36,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":104.24,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":105.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.44,"providers":[{"billed_charge":88.16,"npi":[1245720820]}]},{"allowed_amount":4.32,"providers":[{"billed_charge":88.16,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":135.53,"npi":[1245720820]}]},{"allowed_amount":6.64,"providers":[{"billed_charge":135.53,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.32,"providers":[{"billed_charge":150.59,"npi":[1245720820]}]},{"allowed_amount":7.37,"providers":[{"billed_charge":150.59,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.83,"providers":[{"billed_charge":118.91,"npi":[1245720820]}]},{"allowed_amount":7.35,"providers":[{"billed_charge":118.91,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8452091","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.35,"providers":[{"billed_charge":88.63,"npi":[1245720820]}]},{"allowed_amount":5.25,"providers":[{"billed_charge":88.63,"npi":[1245720820]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1689083438]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":193.5,"providers":[{"billed_charge":391.5,"npi":[1639160708]}]},{"allowed_amount":197.1,"providers":[{"billed_charge":391.5,"npi":[1639160708]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1145.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]},{"allowed_amount":1035.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[]},{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":96.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":179.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":13.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":92.17,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.57,"providers":[{"billed_charge":841.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":111.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":101.82,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]},{"billed_charge":101.81,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"931012147"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.32,"providers":[{"billed_charge":145.0,"npi":[1346368214]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"461650703"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":195.0,"npi":[1811256621]}]}]},{"tin":{"type":"ein","value":"461650703"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":160.0,"npi":[1811256621]},{"billed_charge":195.0,"npi":[1811256621]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1952304396]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]},{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":355.0,"npi":[1235716135]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"455412849"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":210.0,"npi":[1154002343]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80360","description":"Methylphenidate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":31.0,"npi":[1083141196]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1083141196]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":75.62,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.54,"providers":[{"billed_charge":6.9,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":210.0,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":105.0,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":198.43,"npi":[1073599478]},{"billed_charge":193.11,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":96.45,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":46.0,"providers":[{"billed_charge":250.9,"npi":[1356334577]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":32.0,"npi":[1275503609]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":21.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":60.12,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":176.92,"npi":[1841969912]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"870991348"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":188.5,"npi":[1891189338]},{"billed_charge":158.0,"npi":[1891189338]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":192.58,"providers":[{"billed_charge":275.1,"npi":[1831289461]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1831289461]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831326","description":"Special Stains; Group Ii, All Other, Non-Immunocytochemistry & Non-Immunoperoxidase, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60.4,"providers":[{"billed_charge":92.0,"npi":[1790980837]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":981.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5109.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1035.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":29.72,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":178.35,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":156.74,"npi":[1609812445]}]}]}]},{"name":"DME ostomy supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4423","description":"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":119.7,"providers":[{"billed_charge":681.39,"npi":[1609858729]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":94.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":28.3,"npi":[1770996720]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":47.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":254.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[]},{"billed_charge":30.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[]},{"billed_charge":27.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":154.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":34.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":47.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":194.71,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":389.6,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":39.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":18.39,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":52.3,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":289.8,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"455412849"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":210.0,"npi":[1518935618]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1205283561]},{"billed_charge":430.0,"npi":[1114798071]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"CT Scan, Head or Brain; Without Contrast Material","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":125.0,"npi":[1962692483]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":240.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":61.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":41.23,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86334","description":"Immunofixation Electrophoresis","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.55,"providers":[{"billed_charge":112.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":38.12,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":103.95,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":626.0,"npi":[1871613802]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1050.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":141.0,"providers":[{"billed_charge":210.56,"npi":[1619618469]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":99.0,"npi":[]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930623390"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1145.0,"npi":[1265990139]}]}]},{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1831725894]}]}]},{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":895.0,"npi":[1487362489]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]},{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":230.49,"npi":[]},{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":426.0,"npi":[1609872753,1689068033]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":47.57,"npi":[1073599478]},{"billed_charge":43.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":89.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":80.59,"npi":[1073599478]},{"billed_charge":223.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":206.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":10.58,"npi":[1073599478]}]},{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":116.5,"npi":[]},{"billed_charge":148.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.81,"providers":[{"billed_charge":2.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.2,"providers":[{"billed_charge":942.96,"npi":[]}]},{"allowed_amount":187.2,"providers":[{"billed_charge":1525.71,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":330.2,"providers":[{"billed_charge":882.0,"npi":[]}]},{"allowed_amount":66.04,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":47.29,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":247.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":95.75,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":116.55,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]},{"billed_charge":28.0,"npi":[]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":43.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.28,"npi":[1073599478]},{"billed_charge":59.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]},{"billed_charge":72.14,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":53.94,"npi":[1073599478]},{"billed_charge":125.46,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":65.95,"npi":[]},{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":228.0,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":232.65,"providers":[{"billed_charge":345.0,"npi":[1770554859]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":99.83,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":246.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":32.23,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":105.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":90.97,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":37.56,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":30.9,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":47.41,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":206.85,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17.95,"providers":[{"billed_charge":26.4,"npi":[1427077320,1679663538]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":225.99,"providers":[{"billed_charge":225.99,"npi":[]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0667RR","description":"Seg Pneumatic Appl Full Leg","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13.99,"providers":[{"billed_charge":72.0,"npi":[1427131424]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2400.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":115.46,"npi":[1073599478]},{"billed_charge":132.51,"npi":[1073599478]},{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":175.1,"providers":[{"billed_charge":259.6,"npi":[1104183227,1558855486,1811218217]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":263.32,"providers":[{"billed_charge":387.2,"npi":[1104183227,1134780190,1558855486]}]},{"allowed_amount":196.98,"providers":[{"billed_charge":387.2,"npi":[1104901909]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":23.46,"npi":[1073599478]},{"billed_charge":110.03,"npi":[1073599478]},{"billed_charge":118.71,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]},{"billed_charge":96.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]},{"billed_charge":22.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":136.79,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":165.96,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":167.01,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":45.0,"npi":[1073599478]},{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":116.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":54.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":98.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":71.34,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":133.52,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":559.28,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":61.48,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":183.74,"providers":[{"billed_charge":319.0,"npi":[1073068714]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":284.05,"providers":[{"billed_charge":331.0,"npi":[1508288374]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1497288088]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":119.9,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":32.23,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":198.17,"providers":[{"billed_charge":315.0,"npi":[1528874070]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":208.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":206.85,"npi":[1073599478]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1427458231]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1457448771]}]},{"allowed_amount":416.0,"providers":[{"billed_charge":640.0,"npi":[1447755699]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1629224373]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Hospital visit or service OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223AI","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":1389.0,"npi":[1932780699]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":88.26,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1538144910]},{"billed_charge":117.6,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":115.44,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":390.6,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":298.42,"providers":[{"billed_charge":446.0,"npi":[1194144337]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":73.59,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":122.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":73.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[]},{"billed_charge":218.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.74,"providers":[{"billed_charge":373.8,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":45.88,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":270.0,"npi":[1548400682]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":468.0,"providers":[{"billed_charge":640.0,"npi":[1649408055]}]}]}]},{"name":"Anesthesia/Sedation ASC Medical colonoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":468.0,"providers":[{"billed_charge":720.0,"npi":[1942775721]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":87.57,"npi":[1073599478]},{"billed_charge":175.64,"npi":[]},{"billed_charge":84.22,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":68.43,"npi":[1073599478]},{"billed_charge":132.51,"npi":[]},{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":286.0,"npi":[1659784148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":72.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":64.47,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":41.23,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":38.12,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87427","description":"Shiga-like toxin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":96.29,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":11.81,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":58.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":65.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":83.8,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":50.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]},{"billed_charge":89.95,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99070","description":"Supplies Provided By Physician Over & Above Those Included In The Service","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":16.19,"providers":[{"billed_charge":16.19,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":117.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":197.06,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":126.71,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":101.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":119.36,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":160.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":80.51,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":106.6,"npi":[]},{"billed_charge":162.66,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":260.31,"npi":[1073599478]},{"billed_charge":200.29,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":93.36,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":130.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":108.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":74.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":67.87,"npi":[]}]}]}]},{"name":"Mental professional child IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":426.0,"npi":[1578966362]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":640.0,"npi":[1447755699]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911911869"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":18.88,"providers":[{"billed_charge":38.0,"npi":[1952797102]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911911869"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":18.88,"providers":[{"billed_charge":38.0,"npi":[1447699632]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":21.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":32.23,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":59.53,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":28.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":50.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97153SA","description":"Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or QHC professional, face-to-face with one patient, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"461170621"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":227.12,"providers":[{"billed_charge":1028.16,"npi":[1306135900]}]},{"allowed_amount":391.16,"providers":[{"billed_charge":1770.72,"npi":[1306135900]}]}]},{"tin":{"type":"ein","value":"461170621"},"service_code":["03"],"billing_class":"professional","payments":[{"allowed_amount":227.12,"providers":[{"billed_charge":1028.16,"npi":[1306135900]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"200391730"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":111.0,"providers":[{"billed_charge":265.0,"npi":[1760418370]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1497218036]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":254.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.57,"providers":[{"billed_charge":332.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86664","description":"Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen (Ebna)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.09,"providers":[{"billed_charge":117.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":10.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Transplant CT scan IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7125026","description":"Computed tomography, thorax, diagnostic; without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":128.74,"providers":[{"billed_charge":167.2,"npi":[1962051342]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":298.14,"providers":[{"billed_charge":387.2,"npi":[1043592454]}]}]}]},{"name":"Transplant hospital visit IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":298.14,"providers":[{"billed_charge":387.2,"npi":[1013202662,1033538095,1033748561,1043592454,1063450179,1073606331,1093370660,1194014886,1205194636,1235588096,1255648275,1255742284,1326176330,1326572306,1346621851,1477074250,1548423502,1578583290,1588121198,1598090631,1649802547,1659532885,1679663538,1689607863,1710062526,1740956705,1811278971,1942706403,1992246136,1992330179]}]},{"allowed_amount":298.15,"providers":[{"billed_charge":387.2,"npi":[1477074250,1942706403]}]},{"allowed_amount":301.06,"providers":[{"billed_charge":387.2,"npi":[1255648275,1790945871]}]}]}]},{"name":"Transplant hospital visit IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99291","description":"Critical Care, Evaluation & Management; First 30-74 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":538.69,"providers":[{"billed_charge":699.6,"npi":[1043592454,1205194636,1326572306,1710062526,1891085171]}]},{"allowed_amount":538.7,"providers":[{"billed_charge":699.6,"npi":[1043592454,1326572306]}]}]}]},{"name":"Transplant xray IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":22.02,"providers":[{"billed_charge":28.6,"npi":[1053397844,1083822068,1134892656,1508251323,1518428812,1538101456,1609810902,1962051342]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":59.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":207.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":61.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":47.29,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":36.8,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":202.49,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.44,"providers":[{"billed_charge":107.26,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":169.36,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":84.08,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":208.67,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":211.49,"npi":[1538144910]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":129.99,"providers":[{"billed_charge":129.99,"npi":[]}]},{"allowed_amount":139.99,"providers":[{"billed_charge":139.99,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":85.0,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":131.73,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":32.0,"npi":[1144664145]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":626.0,"npi":[1003443391]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":118.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":14.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":41.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87045","description":"Culture, Bacterial; Feces W/Isolation & Preliminary Exam, Salmonella & Shigella Species","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":9.11,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":38.12,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87427","description":"Shiga-like toxin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":96.29,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":94.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":64.21,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":11.81,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":9.11,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"455412849"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":210.0,"npi":[1255352985]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1649408055]}]},{"allowed_amount":364.0,"providers":[{"billed_charge":480.0,"npi":[1558843326]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":101.81,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"911742914"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.71,"providers":[{"billed_charge":52.0,"npi":[1306849955]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":118.75,"npi":[1073599478]},{"billed_charge":193.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":44.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":47.25,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.25,"npi":[1437135886]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1285014282]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1285014282]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":28.63,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":64.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":123.51,"npi":[1538144910]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]},{"billed_charge":87.57,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":71.49,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":10.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":30.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":73.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":102.75,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":16.0,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":139.65,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":157.21,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]},{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":131.73,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":117.52,"npi":[1073599478]},{"billed_charge":60.9,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]},{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.63,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":127.64,"npi":[1073599478]},{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":48.48,"npi":[1073599478]},{"billed_charge":49.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1609812445]}]},{"allowed_amount":6.11,"providers":[{"billed_charge":54.65,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":133.52,"npi":[1073599478]},{"billed_charge":87.6,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":180.55,"providers":[{"billed_charge":275.1,"npi":[1720039803]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":188.85,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":61.0,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8834226","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":102.81,"providers":[{"billed_charge":105.38,"npi":[1033435094]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.0,"providers":[{"billed_charge":108.0,"npi":[1659574127]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]},{"billed_charge":330.0,"npi":[1114798071]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":156.74,"npi":[1609812445]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":337.5,"providers":[{"billed_charge":375.0,"npi":[1528039484]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":102.6,"providers":[{"billed_charge":114.0,"npi":[1528039484]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.88,"providers":[{"billed_charge":135.12,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86664","description":"Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen (Ebna)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.09,"providers":[{"billed_charge":117.75,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":106.39,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":120.0,"npi":[1538144910]},{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":178.35,"npi":[1609812445]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":34.0,"npi":[1225473465]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","allowed_amounts":[{"tin":{"type":"ein","value":"530943610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.21,"providers":[{"billed_charge":75.0,"npi":[1417259672]}]}]},{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.21,"providers":[{"billed_charge":60.0,"npi":[1184794182]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.16,"providers":[{"billed_charge":45.0,"npi":[1184794182]}]}]},{"tin":{"type":"ein","value":"530943610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.32,"providers":[{"billed_charge":120.0,"npi":[1417259672]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":62.0,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":249.99,"providers":[{"billed_charge":249.99,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":21.79,"npi":[]},{"billed_charge":20.38,"npi":[]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9586126","description":"Emg, Needle; 2 Extremities W/Wo Related Paraspinal Areas","allowed_amounts":[{"tin":{"type":"ein","value":"273815236"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":158.12,"providers":[{"billed_charge":4500.0,"npi":[1578622890]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":874.0,"npi":[1285861989]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[]},{"billed_charge":137.26,"npi":[]},{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223AI","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":1389.0,"npi":[1275875130,1295187367]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":737.0,"npi":[1598744658]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":62.11,"npi":[1538144910]},{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":49.85,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":250.0,"npi":[1538144910]}]},{"allowed_amount":23.5,"providers":[{"billed_charge":298.2,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":141.75,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1144937442,1386002038,1659145548,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":22.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":23.0,"npi":[1144937442,1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"834073488"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":124.5,"providers":[{"billed_charge":175.0,"npi":[1639380116]}]},{"allowed_amount":125.5,"providers":[{"billed_charge":175.0,"npi":[1639380116]}]}]},{"tin":{"type":"ein","value":"273781010"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":125.0,"providers":[{"billed_charge":210.0,"npi":[1275714248]}]}]},{"tin":{"type":"ein","value":"990741288"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":138.61,"providers":[{"billed_charge":165.0,"npi":[1518546357]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"932952612"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":515.0,"npi":[1174752224]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":535.0,"npi":[1285324756]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1659145548]}]}]},{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":400.0,"npi":[1710641618]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.42,"providers":[{"billed_charge":926.0,"npi":[1699782722]}]}]}]},{"name":"Dental medical office visit / exam","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":331.63,"providers":[{"billed_charge":352.0,"npi":[1063655967]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97155","description":"Adaptive behavior treatment w/ protocol mod, administered by physician or QHC professional, may incl simultaneous direction of tech, face-to-face with 1 patient, each 15 mins","allowed_amounts":[{"tin":{"type":"ein","value":"273321637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.16,"providers":[{"billed_charge":150.0,"npi":[1881340099]}]},{"allowed_amount":130.4,"providers":[{"billed_charge":375.0,"npi":[1881340099]}]},{"allowed_amount":208.64,"providers":[{"billed_charge":600.0,"npi":[1881340099]}]},{"allowed_amount":234.72,"providers":[{"billed_charge":675.0,"npi":[1881340099]}]},{"allowed_amount":104.32,"providers":[{"billed_charge":300.0,"npi":[1881340099]}]},{"allowed_amount":417.28,"providers":[{"billed_charge":1200.0,"npi":[1881340099]}]},{"allowed_amount":78.24,"providers":[{"billed_charge":225.0,"npi":[1881340099]}]},{"allowed_amount":156.48,"providers":[{"billed_charge":450.0,"npi":[1881340099]}]},{"allowed_amount":182.56,"providers":[{"billed_charge":525.0,"npi":[1881340099]}]}]},{"tin":{"type":"ein","value":"273321637"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":104.32,"providers":[{"billed_charge":300.0,"npi":[1881340099]}]},{"allowed_amount":78.24,"providers":[{"billed_charge":225.0,"npi":[1881340099]}]},{"allowed_amount":208.64,"providers":[{"billed_charge":600.0,"npi":[1881340099]}]},{"allowed_amount":286.88,"providers":[{"billed_charge":825.0,"npi":[1881340099]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","allowed_amounts":[{"tin":{"type":"ein","value":"271296041"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.68,"providers":[{"billed_charge":75.0,"npi":[1437208881]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]},{"tin":{"type":"ein","value":"261501890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":55.0,"npi":[1427083807]}]}]},{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"820482621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.0,"providers":[{"billed_charge":15.0,"npi":[1518986264]}]}]},{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1407948169]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral Feed Supp Pump Per D","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13.66,"providers":[{"billed_charge":37.2,"npi":[1134151699]}]},{"allowed_amount":95.62,"providers":[{"billed_charge":387.8,"npi":[1134151699]}]},{"allowed_amount":109.28,"providers":[{"billed_charge":443.2,"npi":[1134151699]}]},{"allowed_amount":191.24,"providers":[{"billed_charge":520.8,"npi":[1134151699]}]},{"allowed_amount":204.9,"providers":[{"billed_charge":537.0,"npi":[1134151699]},{"billed_charge":831.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":67.79,"providers":[{"billed_charge":444.75,"npi":[1134151699]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]},{"allowed_amount":150.0,"providers":[{"billed_charge":249.75,"npi":[1619295516]}]}]},{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":157.5,"providers":[{"billed_charge":388.35,"npi":[1710079223]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908RT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652RR","description":"Pneum Compres W/Cal Pressure","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":371.0,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":69.45,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.59,"providers":[{"billed_charge":313.18,"npi":[1467890137]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":21.11,"providers":[{"billed_charge":25.98,"npi":[1942497797]}]},{"allowed_amount":16.51,"providers":[{"billed_charge":25.98,"npi":[1245785492,1366482432,1750744421,1942663562]}]},{"allowed_amount":22.08,"providers":[{"billed_charge":25.98,"npi":[1578576773]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":24.83,"providers":[{"billed_charge":24.83,"npi":[1417480732]}]}]},{"tin":{"type":"ein","value":"870622942"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":10.2,"providers":[{"billed_charge":35.0,"npi":[1164421798,1548443716]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":98.31,"providers":[{"billed_charge":354.0,"npi":[1164421798,1184044190]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":162.27,"providers":[{"billed_charge":297.28,"npi":[1457336729,1891159273]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1750031456]}]},{"allowed_amount":24.51,"providers":[{"billed_charge":53.64,"npi":[1023578200]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":15.72,"providers":[{"billed_charge":23.72,"npi":[1225023088]}]},{"allowed_amount":16.67,"providers":[{"billed_charge":23.72,"npi":[1003922394]}]},{"allowed_amount":24.51,"providers":[{"billed_charge":25.69,"npi":[1821005349]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]},{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":11.5,"npi":[]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1528160363,1548850696]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":54.31,"npi":[1073599478]}]}]}]},{"name":"Home health drugs/supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2350JZ","description":"Injection, ocrelizumab, 1 mg","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":7118.88,"providers":[{"billed_charge":81934.1,"npi":[1386674067]}]},{"allowed_amount":8322.05,"providers":[{"billed_charge":81934.1,"npi":[1386674067]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9379","description":"Home infusion therapy, infusion therapy, not otherwise classified","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":59.0,"providers":[{"billed_charge":560.65,"npi":[1386674067]}]},{"allowed_amount":72.0,"providers":[{"billed_charge":560.65,"npi":[1386674067]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99418","description":"Prolonged inpatient/observ eval & mgmt svc time w/w/out direct pt contact beyond reqd time of prim svc when primary svc lev selected using total time, ea 15 mins of total time","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":77.59,"providers":[{"billed_charge":93.13,"npi":[1538321815]}]},{"allowed_amount":87.92,"providers":[{"billed_charge":89.1,"npi":[1992202410]}]},{"allowed_amount":74.73,"providers":[{"billed_charge":89.1,"npi":[1528505138]}]},{"allowed_amount":147.34,"providers":[{"billed_charge":186.26,"npi":[1508092198]}]},{"allowed_amount":263.77,"providers":[{"billed_charge":267.3,"npi":[1609352111]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1295726032,1538144910]},{"billed_charge":33.95,"npi":[1063497451]},{"billed_charge":16.0,"npi":[1932184322]},{"billed_charge":32.85,"npi":[1063497451]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":32.85,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":10.0,"npi":[]},{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":44.25,"npi":[1073599478]}]},{"allowed_amount":8.83,"providers":[{"billed_charge":16.0,"npi":[1073599478]}]},{"allowed_amount":3.5,"providers":[{"billed_charge":3.5,"npi":[]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":131.65,"npi":[1073599478]},{"billed_charge":166.48,"npi":[1073599478]},{"billed_charge":256.5,"npi":[]},{"billed_charge":202.65,"npi":[]},{"billed_charge":201.6,"npi":[1073599478]},{"billed_charge":206.85,"npi":[1073599478]},{"billed_charge":196.15,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":272.84,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":88.89,"npi":[]},{"billed_charge":89.54,"npi":[]},{"billed_charge":90.15,"npi":[]}]},{"allowed_amount":13.19,"providers":[{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82248","description":"Bilirubin; Direct","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":6.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.74,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8239759","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.9,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]},{"allowed_amount":28.18,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1538144910]},{"billed_charge":182.7,"npi":[1326023334]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]},{"allowed_amount":25.45,"providers":[{"billed_charge":240.45,"npi":[]},{"billed_charge":233.65,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]},{"billed_charge":115.2,"npi":[1073599478]},{"billed_charge":82.81,"npi":[]},{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":82.95,"npi":[1295726032]},{"billed_charge":89.25,"npi":[1437135886]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.88,"providers":[{"billed_charge":135.12,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.1,"providers":[{"billed_charge":931.8,"npi":[]}]},{"allowed_amount":104.6,"providers":[{"billed_charge":1075.46,"npi":[]}]},{"allowed_amount":20.92,"providers":[{"billed_charge":133.56,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":39.41,"npi":[]},{"billed_charge":16.93,"npi":[1073599478]},{"billed_charge":43.05,"npi":[1073599478]},{"billed_charge":34.05,"npi":[1073599478]}]},{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":33.09,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":45.72,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.04,"npi":[]},{"billed_charge":78.47,"npi":[]},{"billed_charge":79.65,"npi":[]}]},{"allowed_amount":11.67,"providers":[{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":93.15,"npi":[1073599478]},{"billed_charge":108.37,"npi":[1073599478]},{"billed_charge":201.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.34,"providers":[{"billed_charge":159.6,"npi":[]}]},{"allowed_amount":17.6,"providers":[{"billed_charge":162.04,"npi":[1073599478]},{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]},{"billed_charge":120.16,"npi":[1073599478]},{"billed_charge":153.79,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.34,"providers":[{"billed_charge":43.08,"npi":[]}]},{"allowed_amount":3.39,"providers":[{"billed_charge":43.52,"npi":[]},{"billed_charge":28.63,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.22,"providers":[{"billed_charge":49.35,"npi":[]}]},{"allowed_amount":6.31,"providers":[{"billed_charge":67.35,"npi":[1073599478]},{"billed_charge":48.48,"npi":[1073599478]},{"billed_charge":50.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84445","description":"Thyroid Stimulating Immunoglobulins (Tsi)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.79,"providers":[{"billed_charge":340.2,"npi":[]},{"billed_charge":358.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":95.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":126.0,"npi":[]}]},{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":42.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.12,"providers":[{"billed_charge":785.32,"npi":[]}]},{"allowed_amount":16.26,"providers":[{"billed_charge":117.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86036","description":"Antineutrophil cytoplasmic antibody (ANCA); screen, each antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.56,"providers":[{"billed_charge":64.47,"npi":[1245494517]}]},{"allowed_amount":12.43,"providers":[{"billed_charge":60.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[1073599478]},{"billed_charge":91.97,"npi":[]},{"billed_charge":105.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86146","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.12,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]},{"allowed_amount":25.85,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":491.64,"npi":[]}]}]},{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]},{"allowed_amount":26.52,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.5,"providers":[{"billed_charge":254.5,"npi":[1245494517]}]},{"allowed_amount":26.52,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]},{"allowed_amount":53.04,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":148.93,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.49,"providers":[{"billed_charge":77.84,"npi":[1245494517]}]},{"allowed_amount":14.34,"providers":[{"billed_charge":72.75,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":115.44,"npi":[]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":137.7,"npi":[1073599478]},{"billed_charge":28.45,"npi":[1073599478]},{"billed_charge":119.7,"npi":[]},{"billed_charge":93.77,"npi":[]},{"billed_charge":159.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]},{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[]}]},{"allowed_amount":5.67,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.95,"providers":[{"billed_charge":92.79,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":136.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[]}]},{"allowed_amount":8.08,"providers":[{"billed_charge":19.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87496","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.14,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]},{"allowed_amount":35.22,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.15,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]},{"billed_charge":144.42,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]},{"billed_charge":138.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8765359","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.13,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.04,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]},{"allowed_amount":35.8,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":467.87,"providers":[{"billed_charge":1200.0,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"223510467"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.14,"providers":[{"billed_charge":130.0,"npi":[1750373908]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":96.9,"providers":[{"billed_charge":322.32,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]},{"billed_charge":132.03,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]},{"billed_charge":264.06,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]},{"billed_charge":105.0,"npi":[]},{"billed_charge":110.24,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]},{"billed_charge":210.0,"npi":[]},{"billed_charge":220.5,"npi":[]},{"billed_charge":212.05,"npi":[]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":458.25,"providers":[{"billed_charge":684.32,"npi":[1619618469]}]},{"allowed_amount":469.69,"providers":[{"billed_charge":684.32,"npi":[1245198084]}]},{"allowed_amount":501.79,"providers":[{"billed_charge":684.32,"npi":[1245198084]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":55.38,"providers":[{"billed_charge":88.38,"npi":[1386067478,1891925723]}]},{"allowed_amount":54.29,"providers":[{"billed_charge":81.61,"npi":[1245264399,1386067478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":100.53,"npi":[1073599478]},{"billed_charge":73.5,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":116.65,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[]},{"billed_charge":72.19,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":214.38,"npi":[1073599478]},{"billed_charge":214.39,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1073599478]},{"billed_charge":53.55,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":59.06,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[]}]},{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.99,"providers":[{"billed_charge":34.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"473733039"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":112.51,"providers":[{"billed_charge":125.0,"npi":[1184017691]}]}]},{"tin":{"type":"ein","value":"843506537"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":175.0,"npi":[1851841969]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"570607333"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":182.4,"npi":[1679670319]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":196.24,"providers":[{"billed_charge":392.48,"npi":[1316656465]}]}]},{"tin":{"type":"ein","value":"861747274"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1427653633]}]},{"allowed_amount":140.3,"providers":[{"billed_charge":294.38,"npi":[1093105926]}]}]}]},{"name":"Naturopath office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":227.7,"providers":[{"billed_charge":290.0,"npi":[1093970329]}]}]}]},{"name":"Naturopath office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":45.0,"npi":[1093970329]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":99.66,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":834.96,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]},{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]},{"billed_charge":3900.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.28,"providers":[{"billed_charge":17.0,"npi":[1013086693,1427459759]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"362193608"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":86.82,"providers":[{"billed_charge":252.44,"npi":[1851691323]}]}]},{"tin":{"type":"ein","value":"453825517"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":185.0,"npi":[1104700046]}]}]},{"tin":{"type":"ein","value":"870217280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.91,"providers":[{"billed_charge":129.0,"npi":[1407030695]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":136.72,"providers":[{"billed_charge":290.0,"npi":[1033566336]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.47,"providers":[{"billed_charge":279.0,"npi":[1174884688,1366476509,1689171670,1861734394]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":164.13,"providers":[{"billed_charge":311.0,"npi":[1558611822]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":193.09,"providers":[{"billed_charge":311.0,"npi":[1003840398,1902884869]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":94.32,"providers":[{"billed_charge":165.45,"npi":[1316696966,1548729734,1831501717]},{"billed_charge":179.18,"npi":[1316696966,1548729734,1831501717]}]}]},{"tin":{"type":"ein","value":"362193608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":150.8,"providers":[{"billed_charge":213.02,"npi":[1164876918]}]},{"allowed_amount":128.7,"providers":[{"billed_charge":213.02,"npi":[1699826693]}]},{"allowed_amount":191.72,"providers":[{"billed_charge":213.02,"npi":[1215279328]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1033895065,1083379119,1265207534]}]},{"allowed_amount":134.93,"providers":[{"billed_charge":209.0,"npi":[1669470274,1861434961]}]},{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1114648615]}]}]},{"tin":{"type":"ein","value":"911019392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.25,"providers":[{"billed_charge":164.0,"npi":[1194570317,1669047965]}]},{"allowed_amount":99.28,"providers":[{"billed_charge":164.0,"npi":[1467004721,1801241336]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1154600922,1851977862]}]},{"allowed_amount":134.93,"providers":[{"billed_charge":165.45,"npi":[1528670585]},{"billed_charge":179.18,"npi":[1528670585]}]},{"allowed_amount":99.49,"providers":[{"billed_charge":222.0,"npi":[1871503201]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":408.8,"providers":[{"billed_charge":471.9,"npi":[1881907871]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1881907871]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"471126252"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.72,"providers":[{"billed_charge":99.44,"npi":[1437866035,1780306423,1790664746]}]},{"allowed_amount":25.44,"providers":[{"billed_charge":198.88,"npi":[1023786175,1437866035,1780306423,1790664746]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":102.04,"providers":[{"billed_charge":146.0,"npi":[1952087959]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":35.0,"npi":[]},{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1891731626]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[1285014282]},{"billed_charge":97.65,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":103.95,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":57.02,"npi":[1073599478]},{"billed_charge":81.24,"npi":[1073599478]}]},{"allowed_amount":9.93,"providers":[{"billed_charge":51.0,"npi":[]},{"billed_charge":102.9,"npi":[]},{"billed_charge":107.1,"npi":[]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":71.08,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":46.35,"npi":[1073599478]},{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]},{"billed_charge":236.31,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]},{"billed_charge":82.81,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036QW","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.91,"providers":[{"billed_charge":23.0,"npi":[1700178290]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":62.74,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":48.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.34,"providers":[{"billed_charge":21.53,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":157.2,"npi":[]},{"billed_charge":183.78,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]},{"billed_charge":24.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":99.12,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]},{"billed_charge":105.75,"npi":[1073599478]},{"billed_charge":130.21,"npi":[]},{"billed_charge":138.38,"npi":[]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.43,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.51,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":390.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":131.98,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1932166386]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":30.32,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":105.0,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":126.45,"npi":[]}]}]}]},{"name":"Precare xray adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706726","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":68.86,"providers":[{"billed_charge":109.18,"npi":[1386067478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":43.5,"providers":[{"billed_charge":345.0,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":127.15,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":265.3,"npi":[]}]}]},{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7738726","description":"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":47.05,"providers":[{"billed_charge":55.35,"npi":[1780820050,1811415664,1902068588,1902888126]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":149.74,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]},{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]},{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1902123300]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":232.66,"providers":[{"billed_charge":571.0,"npi":[1134378169]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":264.38,"providers":[{"billed_charge":411.0,"npi":[1215435136]}]},{"allowed_amount":229.22,"providers":[{"billed_charge":408.0,"npi":[1386876530]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":350.0,"npi":[1114798071]}]}]},{"tin":{"type":"ein","value":"834204802"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":210.33,"providers":[{"billed_charge":488.0,"npi":[1518170042]},{"billed_charge":692.0,"npi":[1689671737]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":25.98,"npi":[1952431074]}]},{"allowed_amount":16.84,"providers":[{"billed_charge":28.14,"npi":[1659390086]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.18,"providers":[{"billed_charge":23.76,"npi":[1023317328,1164157731,1386141984,1427284736,1780563171,1932435328,1992913974]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":23.18,"providers":[{"billed_charge":23.76,"npi":[1417154683]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":20.05,"providers":[{"billed_charge":31.5,"npi":[1255345823]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":27.67,"providers":[{"billed_charge":28.36,"npi":[1780563171]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7363026","description":"Radiologic Exam, Foot; Complete, 3+ Views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":15.72,"providers":[{"billed_charge":20.0,"npi":[1952715609]},{"billed_charge":29.6,"npi":[1952715609]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1003925355]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":42.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351691","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":159.43,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":130.76,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.5,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.98,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"331849153"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":275.0,"npi":[1780150979]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"331849153"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.56,"providers":[{"billed_charge":160.0,"npi":[1780150979]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.24,"providers":[{"billed_charge":587.0,"npi":[1699782722]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.67,"providers":[{"billed_charge":190.31,"npi":[1962812727]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":374.99,"providers":[{"billed_charge":374.99,"npi":[]}]}]}]},{"name":"DME compression stockings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530NU","description":"Compression stocking BK18-30","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":60.0,"npi":[1891728697]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[1891728697]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4088","description":"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":47.28,"providers":[{"billed_charge":727.0,"npi":[1134151699]},{"billed_charge":996.0,"npi":[1134151699]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81546","description":"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious)","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3600.0,"providers":[{"billed_charge":6400.0,"npi":[1134438427]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":203.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351691","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.37,"providers":[{"billed_charge":149.0,"npi":[1245494517]}]},{"allowed_amount":11.49,"providers":[{"billed_charge":159.43,"npi":[1245494517]}]},{"allowed_amount":12.68,"providers":[{"billed_charge":159.43,"npi":[1245494517]},{"billed_charge":61.69,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":41.27,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.22,"providers":[{"billed_charge":49.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86146","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.85,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]},{"allowed_amount":26.12,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]},{"allowed_amount":28.0,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.0,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]},{"allowed_amount":26.25,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]},{"allowed_amount":26.52,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.15,"providers":[{"billed_charge":55.74,"npi":[]}]}]},{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.24,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]},{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]},{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"223510467"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.14,"providers":[{"billed_charge":130.0,"npi":[1750373908]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.34,"providers":[{"billed_charge":204.31,"npi":[1538105366]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1275823387,1437689429]}]},{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1073735015,1912947086]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":373.37,"providers":[{"billed_charge":449.55,"npi":[1902458268]}]},{"allowed_amount":449.55,"providers":[{"billed_charge":449.55,"npi":[1174955512]}]},{"allowed_amount":468.43,"providers":[{"billed_charge":468.43,"npi":[1205126257,1972682540]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":449.55,"providers":[{"billed_charge":449.55,"npi":[1285166512]}]},{"allowed_amount":468.43,"providers":[{"billed_charge":468.43,"npi":[1063665719,1285166512]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":47.43,"providers":[{"billed_charge":56.16,"npi":[1306108105]},{"billed_charge":53.9,"npi":[1285166512]}]},{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1063665719,1285166512]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1073735015,1912947086]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1114272937,1275823387,1437689429,1902045271]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.12,"providers":[{"billed_charge":53.9,"npi":[1902458268]}]},{"allowed_amount":47.43,"providers":[{"billed_charge":56.16,"npi":[1518455054,1972682540]},{"billed_charge":53.9,"npi":[1518455054]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.26,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":360.52,"npi":[1487646360]}]}]},{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.74,"providers":[{"billed_charge":240.0,"npi":[1730466590]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]},{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81432","description":"Hereditary cancer disorders (breast, ovarian, endometrial, pancreatic, prostate): genomic analysis panel (5+ genes) for sequence and copy number variants","allowed_amounts":[{"tin":{"type":"ein","value":"330892453"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1145.0,"providers":[{"billed_charge":3400.0,"npi":[1861568784]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81546","description":"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious)","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3600.0,"providers":[{"billed_charge":6400.0,"npi":[1134438427]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":36.75,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":20.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":125.46,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":130.72,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":115.47,"npi":[]},{"billed_charge":64.9,"npi":[1073599478]},{"billed_charge":64.75,"npi":[1073599478]},{"billed_charge":99.75,"npi":[]},{"billed_charge":130.72,"npi":[]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.0,"providers":[{"billed_charge":52.0,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":164.42,"providers":[{"billed_charge":164.42,"npi":[1013092709]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":176.04,"providers":[{"billed_charge":267.19,"npi":[1972682540]}]},{"allowed_amount":256.42,"providers":[{"billed_charge":256.42,"npi":[1407434681,1639744618,1770087215,1902338429]}]},{"allowed_amount":267.19,"providers":[{"billed_charge":267.19,"npi":[1336464759]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":357.43,"providers":[{"billed_charge":357.43,"npi":[1215293667,1770087215]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":16.18,"providers":[{"billed_charge":51.0,"npi":[1164802062]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":32.0,"providers":[{"billed_charge":32.0,"npi":[1801525191]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":50.0,"npi":[1154331585]}]},{"allowed_amount":16.18,"providers":[{"billed_charge":51.0,"npi":[1427268366,1497485049,1760492219]}]}]},{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":31.48,"npi":[]}]},{"allowed_amount":4.68,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":101.46,"npi":[1073599478]},{"billed_charge":110.04,"npi":[]},{"billed_charge":111.3,"npi":[]}]},{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":82.95,"npi":[1073599478]},{"billed_charge":87.87,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":159.43,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.05,"providers":[{"billed_charge":3.05,"npi":[1073599478]}]},{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]},{"allowed_amount":5.96,"providers":[{"billed_charge":36.65,"npi":[]},{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":41.83,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]},{"billed_charge":49.45,"npi":[]},{"billed_charge":56.37,"npi":[1073599478]}]},{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":3.03,"providers":[{"billed_charge":3.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.58,"npi":[]}]},{"allowed_amount":3.95,"providers":[{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.28,"providers":[{"billed_charge":332.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]}]},{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":177.45,"npi":[]},{"billed_charge":194.51,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":206.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":46.5,"npi":[]},{"billed_charge":67.5,"npi":[]},{"billed_charge":71.7,"npi":[]}]},{"allowed_amount":5.96,"providers":[{"billed_charge":47.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":266.7,"npi":[]},{"billed_charge":270.9,"npi":[]}]},{"allowed_amount":15.47,"providers":[{"billed_charge":205.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]},{"billed_charge":44.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.24,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.52,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.05,"providers":[{"billed_charge":241.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":104.58,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":180.25,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":36.15,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":127.33,"providers":[{"billed_charge":192.44,"npi":[1619618469]}]},{"allowed_amount":131.69,"providers":[{"billed_charge":192.44,"npi":[1245198084]}]},{"allowed_amount":141.12,"providers":[{"billed_charge":192.44,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":34.91,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":34.88,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.8,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":457.34,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":105.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.75,"providers":[{"billed_charge":157.92,"npi":[1619618469]}]},{"allowed_amount":252.91,"providers":[{"billed_charge":368.48,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.98,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]},{"billed_charge":56.0,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":39.41,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"205522122"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":200.0,"npi":[1467046334]}]}]},{"tin":{"type":"ein","value":"800817257"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":123.19,"providers":[{"billed_charge":160.0,"npi":[1295807378]}]}]},{"tin":{"type":"ein","value":"872384838"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":140.0,"npi":[1629592951]}]},{"allowed_amount":140.0,"providers":[{"billed_charge":140.0,"npi":[1629592951]}]}]},{"tin":{"type":"ein","value":"883309319"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":150.0,"npi":[1851812564]}]}]},{"tin":{"type":"ein","value":"993659139"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":175.0,"npi":[1477801140]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1265422026]}]}]},{"tin":{"type":"ein","value":"931759651"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.8,"providers":[{"billed_charge":200.0,"npi":[1063070555]}]},{"allowed_amount":102.94,"providers":[{"billed_charge":200.0,"npi":[1619286309]}]},{"allowed_amount":137.25,"providers":[{"billed_charge":200.0,"npi":[1063070555]}]}]},{"tin":{"type":"ein","value":"934282936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":175.0,"npi":[1164769014]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"473733039"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":112.51,"providers":[{"billed_charge":125.0,"npi":[1184017691]}]}]}]},{"name":"OB office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":84.49,"providers":[{"billed_charge":159.0,"npi":[1639144934]}]}]}]},{"name":"OB office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1518393396]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":269.68,"providers":[{"billed_charge":408.0,"npi":[1922232867]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":585.8,"providers":[{"billed_charge":585.8,"npi":[1669964334,1841348240]}]},{"allowed_amount":513.61,"providers":[{"billed_charge":562.19,"npi":[1841707569]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":431.74,"providers":[{"billed_charge":571.0,"npi":[1275116477]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":352.83,"providers":[{"billed_charge":417.7,"npi":[1003278102]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.93,"providers":[{"billed_charge":179.18,"npi":[1528670585]}]},{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1033614458]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":304.87,"providers":[{"billed_charge":347.73,"npi":[1841707569]}]},{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1174955512,1467518209]}]}]},{"tin":{"type":"ein","value":"832660588"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":123.8,"providers":[{"billed_charge":250.0,"npi":[1366166811]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1386790988,1578096897,1750599114]}]},{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1972936326]}]},{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1730525551]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1033435490]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":449.55,"providers":[{"billed_charge":449.55,"npi":[1760561336]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":468.43,"providers":[{"billed_charge":468.43,"npi":[1073838058,1609193622,1689906356,1790131332]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":73.15,"providers":[{"billed_charge":83.13,"npi":[1790131332]},{"billed_charge":86.62,"npi":[1821315268]}]},{"allowed_amount":228.66,"providers":[{"billed_charge":259.86,"npi":[1790131332]}]},{"allowed_amount":76.22,"providers":[{"billed_charge":86.62,"npi":[1609193622]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":146.3,"providers":[{"billed_charge":166.26,"npi":[1760561336]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"274539372"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.37,"providers":[{"billed_charge":76.0,"npi":[1487676912]}]},{"allowed_amount":59.0,"providers":[{"billed_charge":76.0,"npi":[1467136945]}]},{"allowed_amount":118.0,"providers":[{"billed_charge":152.0,"npi":[1467136945]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"274539372"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":66.0,"providers":[{"billed_charge":83.0,"npi":[1467136945]}]},{"allowed_amount":92.5,"providers":[{"billed_charge":166.0,"npi":[1487676912]}]},{"allowed_amount":132.0,"providers":[{"billed_charge":166.0,"npi":[1467136945]}]}]}]},{"name":"Power wheelchair accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0108NU","description":"W/C Component-Accessory Nos","allowed_amounts":[{"tin":{"type":"ein","value":"811401564"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":72.51,"providers":[{"billed_charge":72.51,"npi":[1588011688]}]},{"allowed_amount":153.5,"providers":[{"billed_charge":153.5,"npi":[1588011688]}]},{"allowed_amount":125.0,"providers":[{"billed_charge":385.0,"npi":[1588011688]},{"billed_charge":208.0,"npi":[1588011688]},{"billed_charge":354.0,"npi":[1588011688]}]},{"allowed_amount":250.0,"providers":[{"billed_charge":404.0,"npi":[1588011688]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":213.46,"npi":[]}]},{"allowed_amount":25.07,"providers":[{"billed_charge":192.63,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":141.92,"npi":[]}]},{"allowed_amount":16.65,"providers":[{"billed_charge":128.08,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":209.31,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":197.2,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":129.38,"npi":[]},{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":86.37,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":86.36,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.24,"providers":[{"billed_charge":587.0,"npi":[1699782722]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":41.0,"npi":[1215435136]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99070","description":"Supplies Provided By Physician Over & Above Those Included In The Service","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":572.5,"providers":[{"billed_charge":572.5,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":355.0,"npi":[1104952415]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":224.72,"providers":[{"billed_charge":411.0,"npi":[1174250997]}]},{"allowed_amount":229.22,"providers":[{"billed_charge":408.0,"npi":[1972932986]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":147.64,"providers":[{"billed_charge":313.0,"npi":[1386248292]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":148.86,"providers":[{"billed_charge":275.0,"npi":[1710315577,1902537830]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.67,"providers":[{"billed_charge":190.31,"npi":[1558143909]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":171.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":82.81,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":163.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":438.25,"providers":[{"billed_charge":528.48,"npi":[1588558019]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":170.28,"providers":[{"billed_charge":315.0,"npi":[1922232867]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral Feed Supp Pump Per D","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":143.43,"providers":[{"billed_charge":375.9,"npi":[1134151699]}]},{"allowed_amount":184.41,"providers":[{"billed_charge":483.3,"npi":[1134151699]}]},{"allowed_amount":157.09,"providers":[{"billed_charge":411.7,"npi":[1134151699]}]},{"allowed_amount":61.47,"providers":[{"billed_charge":161.1,"npi":[1134151699]}]},{"allowed_amount":150.26,"providers":[{"billed_charge":393.8,"npi":[1134151699]}]},{"allowed_amount":204.9,"providers":[{"billed_charge":537.0,"npi":[1134151699]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":17.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.37,"providers":[{"billed_charge":149.0,"npi":[1245494517]}]},{"allowed_amount":12.68,"providers":[{"billed_charge":159.43,"npi":[1245494517]}]},{"allowed_amount":22.98,"providers":[{"billed_charge":318.86,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8352059","description":"Immunoassay, Analyte, Quantitative; Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.0,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]},{"allowed_amount":18.0,"providers":[{"billed_charge":92.39,"npi":[1245494517]}]},{"allowed_amount":37.99,"providers":[{"billed_charge":184.78,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86146","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.12,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]},{"allowed_amount":25.85,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":129.43,"providers":[{"billed_charge":627.55,"npi":[1245494517]}]},{"allowed_amount":130.76,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]},{"allowed_amount":138.06,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":210.56,"npi":[1245198084]}]},{"allowed_amount":154.4,"providers":[{"billed_charge":210.56,"npi":[1245198084]}]},{"allowed_amount":174.2,"providers":[{"billed_charge":263.2,"npi":[1245198084]}]},{"allowed_amount":182.1,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":397.43,"providers":[{"billed_charge":579.04,"npi":[1245198084]}]},{"allowed_amount":391.71,"providers":[{"billed_charge":579.04,"npi":[1619618469]}]},{"allowed_amount":433.56,"providers":[{"billed_charge":631.68,"npi":[1245198084]}]},{"allowed_amount":501.79,"providers":[{"billed_charge":684.32,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":241.8,"providers":[{"billed_charge":1200.0,"npi":[1508594136]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":304.87,"providers":[{"billed_charge":347.73,"npi":[1841707569]}]},{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1063672038]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1700240256]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.7,"providers":[{"billed_charge":271.4,"npi":[1366859753]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":80.14,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":62.62,"npi":[1073599478]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"832430631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":52.0,"npi":[1376639633]}]}]},{"tin":{"type":"ein","value":"853582443"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.84,"providers":[{"billed_charge":50.0,"npi":[1184224495]}]}]},{"tin":{"type":"ein","value":"911113645"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.72,"providers":[{"billed_charge":55.0,"npi":[1407936586]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":23.4,"providers":[{"billed_charge":26.0,"npi":[1578856449]}]}]},{"tin":{"type":"ein","value":"870622942"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":10.2,"providers":[{"billed_charge":35.0,"npi":[1619940863]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81546","description":"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious)","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3600.0,"providers":[{"billed_charge":6400.0,"npi":[1134438427]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":137.69,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]},{"allowed_amount":26.61,"providers":[{"billed_charge":97.63,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":43.1,"npi":[1073599478]},{"billed_charge":47.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":166.48,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1609812445]}]},{"allowed_amount":8.29,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.62,"providers":[{"billed_charge":45.0,"npi":[1902141500]}]},{"allowed_amount":17.55,"providers":[{"billed_charge":47.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":47.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":115.14,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.71,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":86.83,"npi":[1073599478]},{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.44,"providers":[{"billed_charge":88.16,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":47.0,"npi":[1073599478]},{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.68,"providers":[{"billed_charge":34.0,"npi":[1902141500]}]},{"allowed_amount":19.98,"providers":[{"billed_charge":35.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]}]},{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]},{"billed_charge":50.36,"npi":[1073599478]}]},{"allowed_amount":8.74,"providers":[{"billed_charge":44.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83970","description":"Parathormone (Parathyroid Hormone)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.99,"providers":[{"billed_charge":102.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]},{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":40.09,"npi":[1073599478]},{"billed_charge":64.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":130.55,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.92,"providers":[{"billed_charge":175.64,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":109.1,"npi":[]},{"billed_charge":106.05,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]},{"allowed_amount":9.02,"providers":[{"billed_charge":106.05,"npi":[1073599478]}]},{"allowed_amount":8.2,"providers":[{"billed_charge":101.81,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84445","description":"Thyroid Stimulating Immunoglobulins (Tsi)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.1,"providers":[{"billed_charge":340.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.35,"providers":[{"billed_charge":113.25,"npi":[1245720820]},{"billed_charge":118.91,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":205.0,"npi":[]},{"billed_charge":245.7,"npi":[1073599478]}]},{"allowed_amount":15.24,"providers":[{"billed_charge":191.31,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.62,"providers":[{"billed_charge":73.77,"npi":[1073599478]}]},{"allowed_amount":7.94,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.64,"providers":[{"billed_charge":220.96,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87496","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.14,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.45,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":70.0,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832660588"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":135.0,"providers":[{"billed_charge":150.0,"npi":[1154103588]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"814146320"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":400.0,"npi":[1306460258]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":341.64,"providers":[{"billed_charge":623.0,"npi":[1962822650]}]},{"allowed_amount":554.21,"providers":[{"billed_charge":623.0,"npi":[1396037982]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":515.59,"providers":[{"billed_charge":528.48,"npi":[1376704692,1558705061]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1952830416]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"912152662"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":45.0,"npi":[1780754671]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1548271521]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":32.29,"npi":[1104887595]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"853582443"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.0,"providers":[{"billed_charge":30.0,"npi":[1184224495]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140","description":"Manual therapy techniques (eg, mobilization/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"911489926"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.85,"providers":[{"billed_charge":70.0,"npi":[1528594850]}]},{"allowed_amount":55.7,"providers":[{"billed_charge":140.0,"npi":[1528594850]}]},{"allowed_amount":33.59,"providers":[{"billed_charge":70.0,"npi":[1528594850]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":131.65,"npi":[1073599478]},{"billed_charge":179.55,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":166.48,"npi":[1073599478]},{"billed_charge":201.6,"npi":[1073599478]},{"billed_charge":208.95,"npi":[1073599478]}]},{"allowed_amount":81.07,"providers":[{"billed_charge":201.6,"npi":[1073599478]},{"billed_charge":179.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]},{"allowed_amount":15.08,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":88.26,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036QW","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.91,"providers":[{"billed_charge":23.0,"npi":[1497781926]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":33.09,"npi":[1073599478]},{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":61.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":130.21,"npi":[1073599478]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":211.65,"npi":[1073599478]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":105.75,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.42,"providers":[{"billed_charge":84.01,"npi":[1063497451]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":65.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.08,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":211.65,"npi":[1073599478]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":105.75,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":97.53,"providers":[{"billed_charge":223.0,"npi":[1053677245]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1255996674,1457344152,1962884577]}]},{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1235420498,1871082990]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":144.74,"providers":[{"billed_charge":315.0,"npi":[1962874446]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911911869"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":18.88,"providers":[{"billed_charge":38.0,"npi":[1639138944]}]},{"allowed_amount":22.56,"providers":[{"billed_charge":35.0,"npi":[1356702245,1750745121]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1659538627]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":60.9,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":194.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":46.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.62,"providers":[{"billed_charge":84.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.72,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036QW","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.91,"providers":[{"billed_charge":23.0,"npi":[1881222008]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and straightforward decision making. Ttl time on the date of the encounter = 10 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.66,"providers":[{"billed_charge":139.0,"npi":[1336760537]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1568026961]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":40.0,"npi":[1336760537]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"200995315"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":23.62,"providers":[{"billed_charge":49.0,"npi":[1679982425]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":136.11,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80357","description":"Ketamine and norketamine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1326104613]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.22,"providers":[{"billed_charge":87.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":78.36,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.44,"providers":[{"billed_charge":132.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.57,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.8,"providers":[{"billed_charge":2.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.95,"providers":[{"billed_charge":144.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":179.55,"npi":[1932184322]},{"billed_charge":210.63,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1326104613]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":82.95,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":126.0,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":198.45,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.3,"providers":[{"billed_charge":247.8,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":37.8,"npi":[1932184322]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1508061060]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1639122088]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"CT Scan, Head or Brain; Without Contrast Material","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":125.0,"npi":[1669422416]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":895.0,"npi":[1497218036]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.37,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86664","description":"Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen (Ebna)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.09,"providers":[{"billed_charge":117.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]},{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"843460007"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":128.0,"providers":[{"billed_charge":150.0,"npi":[1952655953]}]},{"allowed_amount":131.89,"providers":[{"billed_charge":150.0,"npi":[1952655953]}]}]},{"tin":{"type":"ein","value":"843460007"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":131.89,"providers":[{"billed_charge":150.0,"npi":[1952655953]}]},{"allowed_amount":128.0,"providers":[{"billed_charge":150.0,"npi":[1952655953]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"872296800"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":150.0,"providers":[{"billed_charge":150.0,"npi":[1164908851]}]}]},{"tin":{"type":"ein","value":"527533109"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":180.0,"npi":[1750526687]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":192.85,"providers":[{"billed_charge":400.0,"npi":[1588218929]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1366479099]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1366479099]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":270.0,"npi":[1003674714]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":65.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[1538144910]}]}]}]},{"name":"CT scan IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":232.65,"providers":[{"billed_charge":345.0,"npi":[1336245943]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]},{"allowed_amount":283.5,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":232.2,"providers":[{"billed_charge":258.0,"npi":[1770554859]}]},{"allowed_amount":232.65,"providers":[{"billed_charge":345.0,"npi":[1336245943]}]},{"allowed_amount":249.69,"providers":[{"billed_charge":345.0,"npi":[1235310269]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140359","description":"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions)","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.9,"providers":[{"billed_charge":740.8,"npi":[1598314437]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]},{"allowed_amount":2400.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":157.21,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":97.63,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":131.73,"npi":[1609812445]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":1200.0,"npi":[1396288338]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":25.2,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":110.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.44,"providers":[{"billed_charge":105.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":46.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.85,"providers":[{"billed_charge":83.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":83.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.65,"providers":[{"billed_charge":45.73,"npi":[1609812445]},{"billed_charge":43.55,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.63,"providers":[{"billed_charge":58.81,"npi":[1609812445]},{"billed_charge":61.75,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":118.25,"providers":[{"billed_charge":981.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":560.48,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"462747100"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.09,"providers":[{"billed_charge":275.0,"npi":[1801307954]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":613.7,"providers":[{"billed_charge":646.0,"npi":[1508151663]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1508151663]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"481290066"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.49,"providers":[{"billed_charge":71.0,"npi":[1518412634]}]},{"allowed_amount":94.98,"providers":[{"billed_charge":142.0,"npi":[1518412634]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]},{"billed_charge":169.43,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":24.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":54.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":130.21,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":85.05,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1619980745]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.05,"providers":[{"billed_charge":108.0,"npi":[1659574127]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":330.0,"npi":[1114798071]},{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":43.05,"npi":[]}]},{"allowed_amount":6.66,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1609975226]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"421471721"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.67,"providers":[{"billed_charge":55.0,"npi":[1124054283]}]},{"allowed_amount":38.48,"providers":[{"billed_charge":55.0,"npi":[1124054283]}]},{"allowed_amount":36.8,"providers":[{"billed_charge":55.0,"npi":[1124054283]}]}]},{"tin":{"type":"ein","value":"271361149"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":80.0,"npi":[1174482210]}]}]},{"tin":{"type":"ein","value":"562473964"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":55.0,"npi":[1457424749]}]}]},{"tin":{"type":"ein","value":"810489339"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":49.5,"npi":[1437207966]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":232.65,"providers":[{"billed_charge":345.0,"npi":[1770554859]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":120.33,"npi":[1073599478]},{"billed_charge":99.75,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":60.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":131.73,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":110.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1609812445]},{"billed_charge":100.75,"npi":[1609812445]},{"billed_charge":72.8,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":35.0,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":25.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":17.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":71.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":59.06,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.61,"providers":[{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":32.0,"npi":[]},{"billed_charge":63.98,"npi":[]},{"billed_charge":61.48,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":110.03,"npi":[]}]},{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.85,"providers":[{"billed_charge":83.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":78.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.63,"providers":[{"billed_charge":61.75,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]},{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[1073599478]},{"billed_charge":44.61,"npi":[]},{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":48.3,"npi":[1073599478]},{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.93,"npi":[1073599478]},{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":61.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":167.28,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":74.97,"npi":[]},{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":88.05,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":43.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":145.96,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.08,"providers":[{"billed_charge":144.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":138.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":26.61,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.69,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":36.27,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":30.9,"npi":[1073599478]},{"billed_charge":98.7,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"882977235"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":352.0,"npi":[1912466756]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"991517805"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":124.66,"providers":[{"billed_charge":175.0,"npi":[1467174623,1508551284]},{"billed_charge":150.0,"npi":[1467174623]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":173.69,"providers":[{"billed_charge":313.0,"npi":[1487996955]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1205032562]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":170.28,"providers":[{"billed_charge":315.0,"npi":[1376527556]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1609812445]},{"billed_charge":105.79,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1891731626]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1609812445]},{"billed_charge":89.2,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]},{"billed_charge":48.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":43.95,"npi":[1073599478]},{"billed_charge":245.7,"npi":[1073599478]},{"billed_charge":200.29,"npi":[]},{"billed_charge":205.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.31,"providers":[{"billed_charge":30.31,"npi":[1073599478]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":135.45,"npi":[1073599478]},{"billed_charge":137.21,"npi":[1073599478]},{"billed_charge":160.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":50.0,"npi":[1033203393]}]},{"allowed_amount":27.28,"providers":[{"billed_charge":50.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":125.6,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":102.5,"providers":[{"billed_charge":246.0,"npi":[1659574127]}]},{"allowed_amount":51.25,"providers":[{"billed_charge":123.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1215370630,1609975226]}]},{"allowed_amount":278.0,"providers":[{"billed_charge":350.0,"npi":[1609975226]}]}]},{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":67.29,"providers":[{"billed_charge":230.0,"npi":[1023016557]}]}]},{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":150.86,"providers":[{"billed_charge":603.45,"npi":[1346498755]}]},{"allowed_amount":50.29,"providers":[{"billed_charge":203.34,"npi":[1346498755]},{"billed_charge":201.15,"npi":[1346498755]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"200277709"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":193.0,"providers":[{"billed_charge":534.0,"npi":[1316038664]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":292.22,"providers":[{"billed_charge":336.0,"npi":[1770010787]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908LT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":19.66,"providers":[{"billed_charge":29.09,"npi":[1356309512]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":11.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861747274"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1871086140]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1841470804]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":198.46,"providers":[{"billed_charge":275.0,"npi":[1457700262,1477949261]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":35.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":89.54,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"931199406"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":75.0,"npi":[1700981651]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"200391730"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":111.0,"providers":[{"billed_charge":265.0,"npi":[1760418370]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97012","description":"Application of a modality to 1 or more areas; traction, mechanical","allowed_amounts":[{"tin":{"type":"ein","value":"931199406"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.17,"providers":[{"billed_charge":25.0,"npi":[1700981651]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.5,"providers":[{"billed_charge":345.0,"npi":[1912903717]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":24.37,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":355.95,"npi":[]},{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":107.32,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.54,"providers":[{"billed_charge":6.9,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.78,"providers":[{"billed_charge":128.92,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":162.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.34,"providers":[{"billed_charge":43.52,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":145.96,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":88.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":72.14,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":226.32,"providers":[{"billed_charge":300.0,"npi":[1659655124]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.59,"providers":[{"billed_charge":313.18,"npi":[1467890137]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"823146637"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":2277.2,"npi":[1861994600]}]}]},{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.76,"providers":[{"billed_charge":452.0,"npi":[1871630350]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.34,"providers":[{"billed_charge":159.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":94.2,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":317.74,"providers":[{"billed_charge":571.0,"npi":[1235472325,1497700975]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1891492773]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":263.2,"npi":[1366973927]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.43,"providers":[{"billed_charge":228.86,"npi":[1467890137]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"753133325"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":54.0,"npi":[1528123130]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.86,"providers":[{"billed_charge":167.28,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]},{"allowed_amount":9.02,"providers":[{"billed_charge":109.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":58.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":205.0,"npi":[1073599478]}]},{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":122.85,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"OB office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":97.15,"providers":[{"billed_charge":232.1,"npi":[1629307533]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":228.0,"npi":[]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652RR","description":"Pneum Compres W/Cal Pressure","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":371.0,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":149.28,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":226.48,"npi":[1609812445]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":169.86,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"454298417"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":222.02,"providers":[{"billed_charge":575.0,"npi":[1881920007]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":169.82,"providers":[{"billed_charge":240.0,"npi":[1982398038]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1992810709]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1992810709]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"872900265"},"service_code":["60"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":56.0,"npi":[1215688346]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":107.32,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"272931022"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.21,"providers":[{"billed_charge":290.0,"npi":[1093993263]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":251.46,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1538144910]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":387.0,"providers":[{"billed_charge":783.0,"npi":[1639160708]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.9,"providers":[{"billed_charge":219.18,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":34.65,"npi":[1073599478]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1558466177]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1902537830]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":430.0,"npi":[1114798071]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":127.57,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"Blood Count; Hemoglobin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.18,"providers":[{"billed_charge":6.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.12,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":149.81,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":106.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":28.08,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":108.86,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":83.66,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":101.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":44.81,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":161.36,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":117.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":114.17,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":53.55,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":21.88,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":34.05,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":21.52,"npi":[1073599478]},{"billed_charge":21.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":63.13,"npi":[1073599478]},{"billed_charge":64.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":88.27,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":89.48,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[1073599478]},{"billed_charge":45.88,"npi":[]},{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":94.5,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1871074054]}]}]},{"tin":{"type":"ein","value":"830230892"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":15.0,"npi":[1336169036]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1376633966]}]}]},{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.37,"providers":[{"billed_charge":53.9,"npi":[1245867555]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"830230892"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":15.0,"npi":[1467400747]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86708","description":"Hepatitis A antibody (HAAb)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.39,"providers":[{"billed_charge":114.37,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.14,"providers":[{"billed_charge":86.1,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1073603692]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":345.0,"providers":[{"billed_charge":1857.0,"npi":[1295827780]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"472833298"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":119.53,"providers":[{"billed_charge":220.0,"npi":[1437617743]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":70.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":82.92,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.54,"providers":[{"billed_charge":228.0,"npi":[1396869798]}]}]},{"tin":{"type":"ein","value":"911866685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":316.26,"npi":[1548411341]},{"billed_charge":293.67,"npi":[1467433706,1548411341]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":50.0,"npi":[1437768306]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":30.0,"providers":[{"billed_charge":49.95,"npi":[1619295516]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.3,"providers":[{"billed_charge":162.38,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":79.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":54.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860828589"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.0,"providers":[{"billed_charge":6.0,"npi":[1013670439]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.87,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.84,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1457408601,1922452515]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":107.35,"providers":[{"billed_charge":113.0,"npi":[1063483436,1538334628]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":355.95,"npi":[]},{"billed_charge":285.97,"npi":[]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":89.0,"providers":[{"billed_charge":89.0,"npi":[]}]},{"allowed_amount":85.0,"providers":[{"billed_charge":85.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":88.89,"npi":[]},{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.02,"providers":[{"billed_charge":164.63,"npi":[1538144910]}]},{"allowed_amount":14.01,"providers":[{"billed_charge":25.92,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":171.95,"npi":[]},{"billed_charge":170.14,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":123.57,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":114.95,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.39,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[1538144910]},{"billed_charge":94.17,"npi":[1538144910]},{"billed_charge":22.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":101.65,"providers":[{"billed_charge":107.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":112.24,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":47.76,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":68.74,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":101.85,"npi":[1538144910]},{"billed_charge":89.62,"npi":[1538144910]},{"billed_charge":94.54,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":22.15,"npi":[]},{"billed_charge":21.53,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.39,"npi":[]},{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1073590683]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":250.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.15,"providers":[{"billed_charge":37.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":119.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":45.88,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8764059","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.35,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":97.15,"providers":[{"billed_charge":232.1,"npi":[1801785043]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1871682997]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":292.22,"providers":[{"billed_charge":336.0,"npi":[1336629914]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1609190156,1750369427]}]}]},{"tin":{"type":"ein","value":"320260988"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":122.56,"providers":[{"billed_charge":485.0,"npi":[1194369421]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":156.38,"npi":[]},{"billed_charge":130.21,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":142.91,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":348.6,"npi":[]}]}]}]},{"name":"Transplant lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":22.44,"providers":[{"billed_charge":26.4,"npi":[1760597488]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":232.2,"providers":[{"billed_charge":258.0,"npi":[1770554859]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":149.72,"npi":[1609812445]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour","allowed_amounts":[{"tin":{"type":"ein","value":"811177414"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":600.0,"npi":[1396288338]}]},{"allowed_amount":30.0,"providers":[{"billed_charge":300.0,"npi":[1396288338]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":1200.0,"npi":[1396288338]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.64,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":24.13,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":240.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":36.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.34,"providers":[{"billed_charge":159.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.99,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.71,"providers":[{"billed_charge":45.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.84,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1497765291]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.58,"providers":[{"billed_charge":41.0,"npi":[1124007836]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":318.6,"providers":[{"billed_charge":354.0,"npi":[1558344366,1801021001]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":352.1,"providers":[{"billed_charge":610.0,"npi":[1659574127]}]},{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":105.63,"providers":[{"billed_charge":183.0,"npi":[1659574127]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.04,"providers":[{"billed_charge":169.86,"npi":[1609812445]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"834204802"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":202.24,"providers":[{"billed_charge":326.0,"npi":[1689671737]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.72,"providers":[{"billed_charge":97.6,"npi":[1255837555]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":23.85,"providers":[{"billed_charge":25.1,"npi":[1255837555]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7125026","description":"Computed tomography, thorax, diagnostic; without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":133.76,"providers":[{"billed_charge":167.2,"npi":[1518428812]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"262683180"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1437211836]}]}]},{"tin":{"type":"ein","value":"481274572"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1033196027]}]}]},{"tin":{"type":"ein","value":"810494987"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1073690244]}]}]},{"tin":{"type":"ein","value":"562473964"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":55.0,"npi":[1457424749]}]}]},{"tin":{"type":"ein","value":"810531276"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":55.0,"npi":[1346395944]}]}]},{"tin":{"type":"ein","value":"810538211"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":73.0,"npi":[1427479880]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0651RR","description":"Pneum Compressor Segmental","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":68.96,"providers":[{"billed_charge":134.0,"npi":[1427131424]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.85,"providers":[{"billed_charge":83.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.26,"providers":[{"billed_charge":245.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":134.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83935","description":"Osmolality; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.03,"providers":[{"billed_charge":37.08,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653XU","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.32,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"810302402"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":106.04,"providers":[{"billed_charge":165.0,"npi":[1255362992]}]}]},{"tin":{"type":"ein","value":"334984391"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":147.42,"providers":[{"billed_charge":225.0,"npi":[1205062643]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":613.7,"providers":[{"billed_charge":646.0,"npi":[1154767879,1265400691]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":515.59,"providers":[{"billed_charge":528.48,"npi":[1700380771]}]}]},{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":477.84,"providers":[{"billed_charge":597.3,"npi":[1770979551,1861955072]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":254.4,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":129.38,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":191.89,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]},{"allowed_amount":18.48,"providers":[{"billed_charge":148.41,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":78.75,"npi":[1538144910]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":2988.1,"npi":[1063011898]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":95.04,"providers":[{"billed_charge":118.8,"npi":[1871912105]}]},{"allowed_amount":190.08,"providers":[{"billed_charge":237.6,"npi":[1124394937]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.25,"providers":[{"billed_charge":123.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.25,"providers":[{"billed_charge":350.0,"npi":[1609975226]}]},{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1215370630,1609975226]}]}]},{"tin":{"type":"ein","value":"454312142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":134.58,"providers":[{"billed_charge":460.0,"npi":[1023016557,1598951303]}]},{"allowed_amount":67.29,"providers":[{"billed_charge":230.0,"npi":[1023016557]}]}]},{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":201.15,"npi":[1346498755,1831551092]}]},{"allowed_amount":150.86,"providers":[{"billed_charge":603.45,"npi":[1346498755]}]},{"allowed_amount":100.58,"providers":[{"billed_charge":402.3,"npi":[1831551092]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.25,"providers":[{"billed_charge":99.0,"npi":[1578673372,1609975226,1811082993]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.64,"providers":[{"billed_charge":111.2,"npi":[1497734594]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230KX","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":437.85,"providers":[{"billed_charge":765.0,"npi":[1255330825]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":146.8,"providers":[{"billed_charge":819.6,"npi":[1609858729]}]},{"allowed_amount":262.41,"providers":[{"billed_charge":1309.41,"npi":[1609858729]}]},{"allowed_amount":605.55,"providers":[{"billed_charge":1229.4,"npi":[1609858729]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":232.2,"providers":[{"billed_charge":258.0,"npi":[1740359231]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125159","description":"Gba (Glucosidase, Beta, Acid) (Eg, Gaucher Disease) Gene Analysis, Common Variants (Eg, N370S, 84Gg, L444P, Ivs2+1G>A)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]},{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.76,"providers":[{"billed_charge":118.65,"npi":[]}]},{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":40.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]},{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[]},{"billed_charge":203.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.85,"providers":[{"billed_charge":83.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.65,"providers":[{"billed_charge":129.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.78,"providers":[{"billed_charge":128.92,"npi":[]}]},{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]},{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":148.05,"npi":[]}]},{"allowed_amount":8.32,"providers":[{"billed_charge":60.0,"npi":[1073599478]},{"billed_charge":156.45,"npi":[1073599478]},{"billed_charge":148.05,"npi":[]},{"billed_charge":163.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[]},{"billed_charge":124.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":39.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.3,"providers":[{"billed_charge":74.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.15,"providers":[{"billed_charge":37.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":512.04,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":92.17,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":96.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":38.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":45.88,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":252.22,"npi":[1609812445]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":85.74,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"830609011"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":199.82,"providers":[{"billed_charge":235.0,"npi":[1073790416]}]}]},{"tin":{"type":"ein","value":"263445725"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":125.96,"providers":[{"billed_charge":160.0,"npi":[1407823065]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"921024686"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":110.11,"providers":[{"billed_charge":165.0,"npi":[1730840810]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1447514120]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9753059","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"721572349"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28.7,"providers":[{"billed_charge":45.0,"npi":[1437791084,1831549534]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":196.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":166.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":206.85,"npi":[]},{"billed_charge":185.85,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86665","description":"Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.42,"providers":[{"billed_charge":279.23,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.03,"providers":[{"billed_charge":64.91,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":122.85,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":136.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1083078521,1659538627,1871955328]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":67.79,"providers":[{"billed_charge":444.75,"npi":[1134151699]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99222","description":"Int. hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or EX and moderate level of medical decision making. Total time, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":346.54,"providers":[{"billed_charge":355.2,"npi":[1538421920]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":181.75,"providers":[{"billed_charge":186.29,"npi":[1225128846,1861659526]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.34,"providers":[{"billed_charge":204.31,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":30.26,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.25,"providers":[{"billed_charge":127.25,"npi":[1245494517]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":135.7,"providers":[{"billed_charge":271.4,"npi":[1013421072]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834GT","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":121.25,"providers":[{"billed_charge":242.5,"npi":[1477102945]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1154538148,1801329545]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1033435094]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908RT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":10.2,"providers":[{"billed_charge":35.0,"npi":[1164421798]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8239759","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.9,"providers":[{"billed_charge":200.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82542","description":"Column chromatography, mass spectrometry, if performed (eg, HPLC, LC, LC/MS LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.34,"providers":[{"billed_charge":417.03,"npi":[]},{"billed_charge":468.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":119.52,"npi":[]},{"billed_charge":71.76,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.74,"providers":[{"billed_charge":298.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614659","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.7,"providers":[{"billed_charge":254.5,"npi":[1245494517]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":585.8,"providers":[{"billed_charge":585.8,"npi":[1235168592]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":94.32,"providers":[{"billed_charge":165.45,"npi":[1548729734]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1730793852]}]},{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1730793852]}]},{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1154769453,1275710865]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"860748813"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":14.27,"providers":[{"billed_charge":75.0,"npi":[1962170241]}]},{"allowed_amount":16.79,"providers":[{"billed_charge":75.0,"npi":[1962170241]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1407084841]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":44.75,"npi":[1811218720]}]},{"allowed_amount":75.04,"providers":[{"billed_charge":100.0,"npi":[1811218720]},{"billed_charge":117.5,"npi":[1811218720]}]},{"allowed_amount":112.56,"providers":[{"billed_charge":150.0,"npi":[1811218720]},{"billed_charge":161.25,"npi":[1811218720]},{"billed_charge":200.0,"npi":[1811218720]},{"billed_charge":176.25,"npi":[1811218720]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":113.97,"providers":[{"billed_charge":117.5,"npi":[1811218720]}]},{"allowed_amount":89.5,"providers":[{"billed_charge":89.5,"npi":[1811218720]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"262072378"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.09,"providers":[{"billed_charge":10.0,"npi":[1639150485]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"911911869"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.91,"providers":[{"billed_charge":36.0,"npi":[1366615221]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"271361149"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":80.0,"npi":[1174482210]}]}]},{"tin":{"type":"ein","value":"562473964"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":55.0,"npi":[1457424749]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.92,"providers":[{"billed_charge":258.3,"npi":[1073599478]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230KX","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"341774213"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":437.85,"providers":[{"billed_charge":765.0,"npi":[1255330825]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":157.21,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"113358535"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":55.0,"providers":[{"billed_charge":120.0,"npi":[1275589830,1346208949]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":394.71,"providers":[{"billed_charge":521.38,"npi":[1619121019]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82610","description":"Cystatin C","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.48,"providers":[{"billed_charge":193.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.63,"providers":[{"billed_charge":61.75,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":140.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":99.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":54.65,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":137.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.5,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1811174824]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":431.74,"providers":[{"billed_charge":571.0,"npi":[1871984237]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1447514120]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9753059","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"721572349"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.42,"providers":[{"billed_charge":45.0,"npi":[1437791084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":85.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]},{"billed_charge":144.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":23.46,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":22.89,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":104.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":79.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.77,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]},{"allowed_amount":68.35,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]},{"allowed_amount":64.11,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":173.69,"providers":[{"billed_charge":313.0,"npi":[1053446252]}]},{"allowed_amount":147.64,"providers":[{"billed_charge":313.0,"npi":[1386876530]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":55.0,"npi":[1407948169]}]}]},{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"870301301"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":415.53,"providers":[{"billed_charge":1272.0,"npi":[1215324025]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":143.33,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":42.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.14,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8765359","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.8,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":173.43,"providers":[{"billed_charge":204.03,"npi":[1669766184]}]},{"allowed_amount":136.02,"providers":[{"billed_charge":136.02,"npi":[1659537405]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1225353303]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7126026","description":"Computed tomography, thorax, diagnostic; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":228.53,"providers":[{"billed_charge":502.0,"npi":[1255622080,1801026083]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME ostomy supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4425","description":"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":26.5,"providers":[{"billed_charge":111.35,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.5,"providers":[{"billed_charge":110.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":101.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":133.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":44.7,"npi":[1073599478]},{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":46.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":55.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[]},{"billed_charge":35.42,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":220.5,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":110.24,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":116.93,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":125.55,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":228.39,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834GT","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":121.25,"providers":[{"billed_charge":242.5,"npi":[1477102945]}]}]}]},{"name":"Office service or supply","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1559","description":"Injection, immune globulin (hizentra), 100 mg","allowed_amounts":[{"tin":{"type":"ein","value":"462787212"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":3054.0,"providers":[{"billed_charge":14896.3,"npi":[1609209352]}]},{"allowed_amount":3010.0,"providers":[{"billed_charge":14896.3,"npi":[1609209352]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":554.21,"providers":[{"billed_charge":623.0,"npi":[1073979035]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":438.25,"providers":[{"billed_charge":528.48,"npi":[1982228276]}]},{"allowed_amount":515.59,"providers":[{"billed_charge":528.48,"npi":[1528046885,1962998948]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":314.45,"providers":[{"billed_charge":331.0,"npi":[1033452420,1316924228]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":228.13,"providers":[{"billed_charge":275.1,"npi":[1649968959]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1376938514]}]},{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1306119227]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1659735249,1902991144]}]},{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1962998948]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"861035283"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.2,"providers":[{"billed_charge":75.0,"npi":[1114883964]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":103.95,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":47.85,"npi":[1073599478]},{"billed_charge":106.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":23.69,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":23.46,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":186.73,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":55.0,"npi":[1407948169]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1407948169]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":133.62,"providers":[{"billed_charge":175.0,"npi":[1295002285]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":33.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"203604973"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":140.0,"npi":[1689313686]}]},{"allowed_amount":140.0,"providers":[{"billed_charge":140.0,"npi":[1689313686]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1235168592]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1205139763,1386160596]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"860748813"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":14.62,"providers":[{"billed_charge":75.0,"npi":[1710430020]}]},{"allowed_amount":17.13,"providers":[{"billed_charge":75.0,"npi":[1962170241]}]},{"allowed_amount":14.56,"providers":[{"billed_charge":75.0,"npi":[1962170241]}]},{"allowed_amount":17.2,"providers":[{"billed_charge":75.0,"npi":[1710430020,1962170241]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":36.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":60.2,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":346.32,"providers":[{"billed_charge":479.16,"npi":[1558466177]}]},{"allowed_amount":173.16,"providers":[{"billed_charge":239.58,"npi":[1043411168]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"202906366"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":798.0,"npi":[1639568314]}]}]},{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1730281502]}]},{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1730281502]}]}]},{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1447755699]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":28.3,"npi":[1083077408]}]}]},{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1518402783]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":4.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":124.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82542","description":"Column chromatography, mass spectrometry, if performed (eg, HPLC, LC, LC/MS LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.59,"providers":[{"billed_charge":165.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":115.79,"npi":[1073599478]},{"billed_charge":110.03,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1073590683]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]},{"allowed_amount":25.07,"providers":[{"billed_charge":199.81,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.25,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":23.81,"npi":[1073599478]},{"billed_charge":208.95,"npi":[1073599478]},{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":209.31,"npi":[1073599478]},{"billed_charge":31.93,"npi":[1073599478]},{"billed_charge":206.85,"npi":[]}]},{"allowed_amount":22.09,"providers":[{"billed_charge":184.62,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1073590683]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":102.6,"providers":[{"billed_charge":114.0,"npi":[1497765291]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.8,"providers":[{"billed_charge":39.0,"npi":[1073590683]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.2,"providers":[{"billed_charge":110.71,"npi":[1245720820]},{"billed_charge":116.25,"npi":[1245720820]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":4.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[]},{"billed_charge":253.56,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":7.04,"providers":[{"billed_charge":51.63,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":118.17,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.88,"providers":[{"billed_charge":51.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.64,"providers":[{"billed_charge":220.96,"npi":[1245720820]},{"billed_charge":232.01,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.92,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"023584360"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.14,"providers":[{"billed_charge":160.0,"npi":[1790887859]}]}]}]},{"name":"OB ER professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":776.7,"providers":[{"billed_charge":863.0,"npi":[1548612153]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]},{"billed_charge":999.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9703559","description":"Application, Modality To 1+ Areas; Ultrasound, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"942762069"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.5,"providers":[{"billed_charge":30.0,"npi":[1770676025]}]},{"allowed_amount":30.0,"providers":[{"billed_charge":30.0,"npi":[1770676025]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"811026078"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":73.0,"npi":[1427933423]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1629727219]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1063497451]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1629727219]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1629727219]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.33,"providers":[{"billed_charge":29.72,"npi":[]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":149.74,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]},{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.59,"providers":[{"billed_charge":313.18,"npi":[1467890137]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831326","description":"Special Stains; Group Ii, All Other, Non-Immunocytochemistry & Non-Immunoperoxidase, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.2,"providers":[{"billed_charge":46.0,"npi":[1053686964]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7683026","description":"Echography, Transvaginal","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.83,"providers":[{"billed_charge":113.0,"npi":[1487729281]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7685626","description":"Echography, Pelvic (Nonobstetric), B-Scan &/Or Real Time W/Image Documentation; Complete","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":112.0,"npi":[1487729281]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":89.48,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8762559","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":142.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"930921282"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":315.0,"npi":[1730578576]},{"billed_charge":335.0,"npi":[1730578576]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":37.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":258.0,"npi":[1598184293]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99222","description":"Int. hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or EX and moderate level of medical decision making. Total time, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":346.54,"providers":[{"billed_charge":355.2,"npi":[1386038362,1942398763]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":154.49,"providers":[{"billed_charge":186.29,"npi":[1457866261]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":156.74,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.05,"providers":[{"billed_charge":108.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.25,"providers":[{"billed_charge":123.0,"npi":[1659574127]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":127.31,"providers":[{"billed_charge":347.0,"npi":[1013942127]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]},{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1407948169]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":98.31,"providers":[{"billed_charge":354.0,"npi":[1730528308]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":254.4,"npi":[]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.0,"providers":[{"billed_charge":74.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.42,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":246.06,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":25.0,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":142.14,"providers":[{"billed_charge":244.8,"npi":[1548729734]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":149.74,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]},{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"272931022"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.21,"providers":[{"billed_charge":290.0,"npi":[1093993263]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"912046481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.69,"providers":[{"billed_charge":35.0,"npi":[1538591995]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.44,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.71,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.36,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":49.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"Blood Count; Hemoglobin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.18,"providers":[{"billed_charge":3.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.98,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Mammography age 40-49","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7706326","description":"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":55.38,"providers":[{"billed_charge":88.38,"npi":[1245264399]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"874027220"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":190.0,"npi":[1598353484]}]}]},{"tin":{"type":"ein","value":"332715760"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":185.0,"npi":[1811413750]}]}]}]},{"name":"OB office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and straightforward decision making. Ttl time on the date of the encounter = 10 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":40.09,"providers":[{"billed_charge":107.15,"npi":[1073812053]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":94.32,"providers":[{"billed_charge":179.18,"npi":[1114910296]}]}]},{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":109.01,"providers":[{"billed_charge":153.0,"npi":[1205279890]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":164.13,"providers":[{"billed_charge":311.0,"npi":[1902478688]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":145.41,"providers":[{"billed_charge":264.21,"npi":[1831501717]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1912234378]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"471026878"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":190.0,"npi":[1114600129]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":164.13,"providers":[{"billed_charge":311.0,"npi":[1659383842]}]},{"allowed_amount":193.09,"providers":[{"billed_charge":311.0,"npi":[1568725695]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1104688274]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"934895258"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":275.0,"providers":[{"billed_charge":335.0,"npi":[1114798071]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":16.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":224.22,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":227.28,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":163.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":133.52,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]},{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":122.85,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.63,"providers":[{"billed_charge":175.0,"npi":[1609975226]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":61.5,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1205194826]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":142.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":102.2,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.8,"providers":[{"billed_charge":252.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84478","description":"Triglycerides","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.21,"providers":[{"billed_charge":55.39,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":23.0,"npi":[1659145548]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":160.39,"npi":[]}]}]}]},{"name":"Naturopath office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"901716480"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":143.51,"providers":[{"billed_charge":300.0,"npi":[1780189332]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1659145548]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1649611260]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":148.0,"npi":[1316822547]}]},{"allowed_amount":37.52,"providers":[{"billed_charge":74.0,"npi":[1316822547]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":107.5,"npi":[1609104496]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":160.63,"npi":[1538144910]}]}]}]},{"name":"Transplant clinic visit OP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":44.88,"providers":[{"billed_charge":52.8,"npi":[1972063261]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"200277709"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":187.0,"providers":[{"billed_charge":534.0,"npi":[1922359892]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":560.0,"npi":[1649408055]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834670167"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":228.64,"providers":[{"billed_charge":500.0,"npi":[1215375969]}]},{"allowed_amount":124.59,"providers":[{"billed_charge":500.0,"npi":[1215375969]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"872835013"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":225.0,"npi":[1902243223]}]}]},{"tin":{"type":"ein","value":"461650703"},"service_code":["02","11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":160.0,"npi":[1811256621]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":53.75,"npi":[1609104496]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.5,"providers":[{"billed_charge":107.5,"npi":[1609104496]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":228.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":95.04,"providers":[{"billed_charge":118.8,"npi":[1124394937]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]},{"allowed_amount":265.32,"providers":[{"billed_charge":480.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"272931022"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.21,"providers":[{"billed_charge":290.0,"npi":[1285817569]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":21.45,"npi":[]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":455.05,"providers":[{"billed_charge":479.0,"npi":[1205808607]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99244","description":"Office or OP consult for new or est. patient, req. a medically apt history and/or Ex. and moderate level of medical decision making. Total time of the encounter, 40 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":662.15,"providers":[{"billed_charge":697.0,"npi":[1780040634]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":101.65,"providers":[{"billed_charge":107.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1063450120,1629000443]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":1494.0,"npi":[1144429994,1871955435]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1050.0,"npi":[1346479169]},{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1260.06,"npi":[1609858729]}]}]},{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":712.32,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":30.0,"providers":[{"billed_charge":49.95,"npi":[1619295516]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80360","description":"Methylphenidate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":12.77,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"CT Scan, Head or Brain; Without Contrast Material","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":125.0,"npi":[1033377643]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1629025895]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"916001537"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.56,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"931103256"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":75.0,"providers":[{"billed_charge":100.0,"npi":[1972640712]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"912146629"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":737.0,"npi":[1720714462,1942217914]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1497765291]}]},{"allowed_amount":26.1,"providers":[{"billed_charge":29.0,"npi":[1497765291]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1598748782]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1609395102,1629727219]}]},{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1073590683,1508589607,1578061883]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":8.83,"providers":[{"billed_charge":35.65,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":10.0,"npi":[1073599478]},{"billed_charge":20.0,"npi":[1073599478]}]},{"allowed_amount":12.74,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":57.02,"npi":[1073599478]},{"billed_charge":51.0,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]},{"allowed_amount":14.73,"providers":[{"billed_charge":107.1,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[1598748782]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":57.02,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1073590683,1508589607,1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.62,"providers":[{"billed_charge":138.59,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":176.17,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1073590683,1508589607,1578061883,1609395102,1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":6.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":143.84,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1073590683,1508589607,1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":41.84,"providers":[{"billed_charge":869.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":163.8,"npi":[]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.82,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.38,"providers":[{"billed_charge":169.04,"npi":[1073599478]}]},{"allowed_amount":17.34,"providers":[{"billed_charge":68.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1073590683,1508589607,1578061883,1609395102,1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":172.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1073590683,1508589607,1578061883,1609395102,1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":218.75,"npi":[1073599478]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":23.0,"npi":[1629727219]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[]},{"billed_charge":39.9,"npi":[]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":8.55,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":85.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.57,"providers":[{"billed_charge":830.97,"npi":[1073599478]}]},{"allowed_amount":16.51,"providers":[{"billed_charge":130.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":51.9,"npi":[1073599478]},{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":21.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":60.12,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":35.94,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":22.82,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":40.0,"npi":[]}]}]}]},{"name":"Mental professional child residential","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","description":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":111.96,"providers":[{"billed_charge":292.0,"npi":[1679745640]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":400.95,"providers":[{"billed_charge":597.3,"npi":[1114002938,1265553374]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.65,"providers":[{"billed_charge":228.0,"npi":[1194385666,1861604217]}]},{"allowed_amount":142.54,"providers":[{"billed_charge":228.0,"npi":[1861604217]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1073590683]},{"billed_charge":298.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":192.85,"providers":[{"billed_charge":400.0,"npi":[1336762467]}]}]},{"tin":{"type":"ein","value":"911019392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":164.0,"npi":[1740166909]}]}]},{"tin":{"type":"ein","value":"930798039"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":276.0,"npi":[1538946215]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1629727219]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":53.75,"npi":[1851882724]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1050.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]},{"allowed_amount":10.68,"providers":[{"billed_charge":81.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1366479099]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":206.85,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1609395102]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":56.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":111.89,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":62.0,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1649732322]}]}]},{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1235227893,1275961765]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":104.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87045","description":"Culture, Bacterial; Feces W/Isolation & Preliminary Exam, Salmonella & Shigella Species","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.9,"providers":[{"billed_charge":38.12,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]},{"billed_charge":1500.0,"npi":[1558672279]},{"billed_charge":3900.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":50.81,"npi":[]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1215370630]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":155.27,"providers":[{"billed_charge":338.0,"npi":[1255002929]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4220KX","description":"Parenteral Supply Kit Premix","allowed_amounts":[{"tin":{"type":"ein","value":"680250542"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":392.0,"npi":[1619084829]}]},{"allowed_amount":49.73,"providers":[{"billed_charge":392.0,"npi":[1619084829]}]},{"allowed_amount":59.69,"providers":[{"billed_charge":392.0,"npi":[1619084829]}]},{"allowed_amount":82.88,"providers":[{"billed_charge":392.0,"npi":[1619084829]}]},{"allowed_amount":62.69,"providers":[{"billed_charge":504.0,"npi":[1619084829]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":23.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":66.46,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.95,"providers":[{"billed_charge":135.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":24.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]},{"allowed_amount":77.2,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":559.28,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":105.86,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":53.55,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"464224143"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":114.01,"providers":[{"billed_charge":200.0,"npi":[1215284880]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"570607333"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":182.4,"npi":[1679670319]}]}]},{"tin":{"type":"ein","value":"861747274"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":294.38,"npi":[1043944861]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]},{"billed_charge":3900.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":192.58,"providers":[{"billed_charge":275.1,"npi":[1730780032,1790313716]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":279.08,"providers":[{"billed_charge":370.19,"npi":[1952710923]}]},{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1376872952]}]},{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1194143891]}]},{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1194143891]}]}]},{"tin":{"type":"ein","value":"911336707"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":304.88,"providers":[{"billed_charge":446.0,"npi":[1699856948,1770798647,1992890883]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":115.62,"providers":[{"billed_charge":136.02,"npi":[1194143891]}]},{"allowed_amount":68.01,"providers":[{"billed_charge":68.01,"npi":[1194143891]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471484631"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1730780032,1790313716]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1194143891]}]},{"allowed_amount":40.43,"providers":[{"billed_charge":53.9,"npi":[1952710923]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1194143891,1376872952]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":250.0,"providers":[{"billed_charge":250.0,"npi":[1568529105]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.99,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1093071086]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":114.7,"providers":[{"billed_charge":209.0,"npi":[1831569326]}]},{"allowed_amount":101.21,"providers":[{"billed_charge":209.0,"npi":[1821529918]}]}]},{"tin":{"type":"ein","value":"471026878"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":190.0,"npi":[1114600129]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":134.4,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":134.4,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.61,"providers":[{"billed_charge":117.52,"npi":[1073599478]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":116.14,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99418","description":"Prolonged inpatient/observ eval & mgmt svc time w/w/out direct pt contact beyond reqd time of prim svc when primary svc lev selected using total time, ea 15 mins of total time","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":128.75,"providers":[{"billed_charge":178.2,"npi":[1558082909]}]},{"allowed_amount":450.62,"providers":[{"billed_charge":623.7,"npi":[1639728546]}]},{"allowed_amount":257.5,"providers":[{"billed_charge":356.4,"npi":[1558082909,1639728546]}]},{"allowed_amount":64.37,"providers":[{"billed_charge":89.1,"npi":[1558082909]}]},{"allowed_amount":151.47,"providers":[{"billed_charge":178.2,"npi":[1578208542]}]},{"allowed_amount":193.12,"providers":[{"billed_charge":267.3,"npi":[1558082909]}]},{"allowed_amount":227.21,"providers":[{"billed_charge":267.3,"npi":[1578208542]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":89.54,"npi":[]},{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.07,"npi":[]},{"billed_charge":37.3,"npi":[]},{"billed_charge":58.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82397","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.09,"providers":[{"billed_charge":107.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.54,"providers":[{"billed_charge":171.95,"npi":[]},{"billed_charge":270.82,"npi":[]},{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":17.57,"npi":[]},{"billed_charge":50.4,"npi":[]},{"billed_charge":31.48,"npi":[]},{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":99.83,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.04,"npi":[]},{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":21.68,"npi":[]},{"billed_charge":22.15,"npi":[]},{"billed_charge":34.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":12.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86148","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.75,"providers":[{"billed_charge":85.97,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.32,"providers":[{"billed_charge":73.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":130.76,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.58,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]},{"billed_charge":30.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87177","description":"Ova & Parasites, Direct Smears, Concentration & Identification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.18,"providers":[{"billed_charge":38.12,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":59.53,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":2614.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1850.0,"npi":[1346479169]}]}]}]},{"name":"Occupational therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GO","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"044563899"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":180.0,"providers":[{"billed_charge":180.0,"npi":[1588222590]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":500.58,"providers":[{"billed_charge":528.48,"npi":[1356102255]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1558817965,1609352111]}]},{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1215450986]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":468.43,"providers":[{"billed_charge":468.43,"npi":[1285014100]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Xray office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.67,"providers":[{"billed_charge":28.36,"npi":[1568559516]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9894359","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"911113645"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.39,"providers":[{"billed_charge":40.0,"npi":[1407936586]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4357KX","description":"Bedside Drainage Bag","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":14.0,"npi":[1639160708]}]},{"allowed_amount":11.26,"providers":[{"billed_charge":14.0,"npi":[1639160708]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330826","description":"Echocardiography, Transthoracic, 2d, W/Wo M-Mode; Follow-Up/Limited Study","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":54.71,"providers":[{"billed_charge":80.3,"npi":[1821019811]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"830230892"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":15.0,"npi":[1306333687]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]},{"billed_charge":148.61,"npi":[1073599478]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9364","description":"Home infusion therapy, total parenteral nutrition (TPN) (do not use with home infusion codes S9365-S9368 using daily vol","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":430.0,"providers":[{"billed_charge":3460.52,"npi":[1386674067]}]},{"allowed_amount":1075.0,"providers":[{"billed_charge":8651.3,"npi":[1386674067]}]},{"allowed_amount":1290.0,"providers":[{"billed_charge":10381.56,"npi":[1386674067]}]},{"allowed_amount":193.02,"providers":[{"billed_charge":5190.78,"npi":[1386674067]}]},{"allowed_amount":645.0,"providers":[{"billed_charge":5190.78,"npi":[1386674067]}]},{"allowed_amount":1505.0,"providers":[{"billed_charge":12111.82,"npi":[1386674067]}]},{"allowed_amount":64.34,"providers":[{"billed_charge":1730.26,"npi":[1386674067]}]},{"allowed_amount":215.0,"providers":[{"billed_charge":1730.26,"npi":[1386674067]}]},{"allowed_amount":1935.0,"providers":[{"billed_charge":15572.34,"npi":[1386674067]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":268.46,"providers":[{"billed_charge":268.46,"npi":[1801328687]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":59.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":32.0,"npi":[]},{"billed_charge":31.48,"npi":[]},{"billed_charge":42.49,"npi":[1073599478]},{"billed_charge":50.4,"npi":[]},{"billed_charge":61.48,"npi":[1073599478]},{"billed_charge":66.46,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.5,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":240.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":159.43,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":22.15,"npi":[]},{"billed_charge":21.68,"npi":[]},{"billed_charge":34.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]},{"allowed_amount":3.39,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.99,"providers":[{"billed_charge":1.99,"npi":[]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":1.51,"providers":[{"billed_charge":1.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[]},{"billed_charge":109.2,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":102.6,"providers":[{"billed_charge":114.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1528039484]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":25.03,"npi":[]},{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":8.55,"providers":[{"billed_charge":39.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.99,"providers":[{"billed_charge":34.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":491.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]},{"billed_charge":94.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":101.82,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.5,"providers":[{"billed_charge":471.23,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.98,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]}]}]},{"name":"MRI/MRA OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7055126","description":"MRI, brain (including brain stem); without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":376.78,"providers":[{"billed_charge":443.27,"npi":[1669462958]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["10","02"],"billing_class":"professional","payments":[{"allowed_amount":166.81,"providers":[{"billed_charge":294.38,"npi":[1134610561]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9084795","description":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"843115837"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":97.5,"providers":[{"billed_charge":185.0,"npi":[1184271678]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1386790988]},{"billed_charge":324.53,"npi":[1336553676]}]},{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1790866580]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1982995841]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G221195","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1568824217]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"831157739"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.33,"providers":[{"billed_charge":60.0,"npi":[1871191122]}]},{"allowed_amount":20.12,"providers":[{"billed_charge":60.0,"npi":[1871191122]}]},{"allowed_amount":20.21,"providers":[{"billed_charge":60.0,"npi":[1871191122]}]},{"allowed_amount":40.24,"providers":[{"billed_charge":120.0,"npi":[1871191122]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]},{"allowed_amount":559.76,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":44.0,"npi":[1073599478]},{"billed_charge":113.28,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.28,"npi":[1104466994]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":72.45,"npi":[]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":81.87,"providers":[{"billed_charge":118.8,"npi":[1538236773]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":219.2,"providers":[{"billed_charge":219.2,"npi":[1699902726]}]}]},{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":519.49,"providers":[{"billed_charge":718.74,"npi":[1043411168,1558466177]}]},{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1558466177]}]},{"allowed_amount":173.16,"providers":[{"billed_charge":239.58,"npi":[1558466177]}]}]},{"tin":{"type":"ein","value":"922959598"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":76.12,"providers":[{"billed_charge":150.0,"npi":[1316216369]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"833011825"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":148.86,"providers":[{"billed_charge":280.0,"npi":[1487278453]}]}]}]},{"name":"Xray office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.26,"providers":[{"billed_charge":28.36,"npi":[1124173653]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":239.99,"providers":[{"billed_charge":239.99,"npi":[]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.63,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":28.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Occupational therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GO","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"044563899"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":180.0,"providers":[{"billed_charge":180.0,"npi":[1588222590]}]},{"allowed_amount":135.0,"providers":[{"billed_charge":135.0,"npi":[1588222590]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1568707586]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.84,"providers":[{"billed_charge":614.0,"npi":[1548798630]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":127.09,"providers":[{"billed_charge":127.09,"npi":[1164922217]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"471026878"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":101.21,"providers":[{"billed_charge":190.0,"npi":[1114600129]}]}]},{"tin":{"type":"ein","value":"870217280"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":70.91,"providers":[{"billed_charge":129.0,"npi":[1942474333]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.99,"providers":[{"billed_charge":179.99,"npi":[]}]},{"allowed_amount":173.59,"providers":[{"billed_charge":173.59,"npi":[]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":262.41,"providers":[{"billed_charge":1260.06,"npi":[1609858729]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1144795709]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":47.75,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.97,"providers":[{"billed_charge":236.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.47,"providers":[{"billed_charge":37.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":30.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":48.73,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.54,"providers":[{"billed_charge":4.31,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":31.48,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":28.27,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8614759","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":53.04,"providers":[{"billed_charge":272.32,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":32.1,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":67.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.58,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87328","description":"Crytosporidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":143.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.98,"providers":[{"billed_charge":302.7,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818759","description":"Flow Cytometry, Interpretation; 2 To 8 Markers","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":214.0,"npi":[1245494517]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":95.75,"npi":[1073599478]},{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":22.7,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"508110172"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":185.0,"npi":[1265666440]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":294.38,"npi":[1306248455]}]},{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1376269613]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.54,"providers":[{"billed_charge":228.0,"npi":[1871567941]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1790045045]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1902289838,1932830338]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":179.55,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1851968838]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7701426","description":"Computed Tomography Guidance for Placement of Radiation Therapy Fields","allowed_amounts":[{"tin":{"type":"ein","value":"300366366"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":55.0,"providers":[{"billed_charge":160.0,"npi":[1083673636]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.59,"providers":[{"billed_charge":313.18,"npi":[1467890137]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":123.63,"providers":[{"billed_charge":219.2,"npi":[1174620496]}]},{"allowed_amount":219.2,"providers":[{"billed_charge":219.2,"npi":[1699902726]}]},{"allowed_amount":242.96,"providers":[{"billed_charge":438.4,"npi":[1174620496]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":80.74,"providers":[{"billed_charge":886.72,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":72.14,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":118.73,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":118.73,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":118.73,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":405.0,"providers":[{"billed_charge":749.75,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":150.0,"providers":[{"billed_charge":249.75,"npi":[1619295516]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":144.9,"providers":[{"billed_charge":161.0,"npi":[1285709568,1609306083,1730285594]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":267.88,"providers":[{"billed_charge":274.58,"npi":[1790137123]}]},{"allowed_amount":227.7,"providers":[{"billed_charge":274.58,"npi":[1023334240]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99418","description":"Prolonged inpatient/observ eval & mgmt svc time w/w/out direct pt contact beyond reqd time of prim svc when primary svc lev selected using total time, ea 15 mins of total time","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":64.37,"providers":[{"billed_charge":89.1,"npi":[1023334240,1992114672]}]},{"allowed_amount":75.74,"providers":[{"billed_charge":89.1,"npi":[1790137123]}]},{"allowed_amount":257.5,"providers":[{"billed_charge":356.4,"npi":[1992114672]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":69.3,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":33.09,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":129.08,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":38.85,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":240.74,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.3,"providers":[{"billed_charge":301.64,"npi":[1063497451]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8452091","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.25,"providers":[{"billed_charge":84.41,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":74.55,"npi":[1063497451]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"474045481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":108.0,"providers":[{"billed_charge":300.0,"npi":[1003265521]}]}]}]},{"name":"Occupational therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GO","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"820535921"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":181.56,"providers":[{"billed_charge":220.0,"npi":[1477880268,1811211527]}]}]},{"tin":{"type":"ein","value":"044563899"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":180.0,"providers":[{"billed_charge":180.0,"npi":[1588222590]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1821273392]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820483872"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":50.0,"npi":[1356409445]}]}]},{"tin":{"type":"ein","value":"883453619"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.68,"providers":[{"billed_charge":150.0,"npi":[1699431437]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"392960395"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1801483193]}]}]},{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]},{"allowed_amount":30.0,"providers":[{"billed_charge":49.95,"npi":[1619295516]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351KX","description":"Straight Tip Urine Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":387.0,"providers":[{"billed_charge":783.0,"npi":[1639160708]}]},{"allowed_amount":32.25,"providers":[{"billed_charge":108.0,"npi":[1639160708]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4357KX","description":"Bedside Drainage Bag","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11.26,"providers":[{"billed_charge":14.0,"npi":[1639160708]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"870622942"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":10.2,"providers":[{"billed_charge":35.0,"npi":[1730528308]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":222.62,"providers":[{"billed_charge":268.46,"npi":[1073088969]}]},{"allowed_amount":261.91,"providers":[{"billed_charge":268.46,"npi":[1194130054]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"474045481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":108.0,"providers":[{"billed_charge":150.0,"npi":[1003265521]}]}]},{"tin":{"type":"ein","value":"853428231"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":192.5,"providers":[{"billed_charge":275.0,"npi":[1194174284]}]}]},{"tin":{"type":"ein","value":"933373334"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":175.0,"npi":[1023176708]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1306131453,1790938843]},{"billed_charge":437.78,"npi":[1427008341]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":49.14,"providers":[{"billed_charge":68.01,"npi":[1275834319,1669875886]}]},{"allowed_amount":98.27,"providers":[{"billed_charge":136.02,"npi":[1669875886]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"870574059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.02,"providers":[{"billed_charge":71.0,"npi":[1982079208]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"870574059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":90.78,"providers":[{"billed_charge":152.0,"npi":[1982079208]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1013204650]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":482.97,"providers":[{"billed_charge":495.04,"npi":[1093071086]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"911911289"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.3,"providers":[{"billed_charge":80.0,"npi":[1710167416]}]},{"allowed_amount":38.61,"providers":[{"billed_charge":80.0,"npi":[1710167416]}]}]},{"tin":{"type":"ein","value":"810538211"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":73.0,"npi":[1427479880]}]}]},{"tin":{"type":"ein","value":"481274572"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1033196027]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1035.0,"providers":[{"billed_charge":5571.0,"npi":[1295827780]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":37.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82615","description":"Cystine & Homocystine, Urine, Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.5,"providers":[{"billed_charge":50.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":136.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":41.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":22.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":144.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":118.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":227.28,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.71,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":119.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":69.3,"npi":[1538144910]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":3295.93,"npi":[1063011898]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.82,"providers":[{"billed_charge":71.0,"npi":[1215942933]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":148.62,"providers":[{"billed_charge":273.0,"npi":[1497233381]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731QZ","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1427458231]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"461704056"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.61,"providers":[{"billed_charge":74.95,"npi":[1992006035]}]},{"allowed_amount":48.72,"providers":[{"billed_charge":74.95,"npi":[1992006035]}]}]}]},{"name":"Chiro office visit - no encounter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930795159"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":98.96,"providers":[{"billed_charge":100.0,"npi":[1790810844]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.59,"providers":[{"billed_charge":149.59,"npi":[]}]},{"allowed_amount":199.99,"providers":[{"billed_charge":199.99,"npi":[]}]}]},{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":173.59,"providers":[{"billed_charge":173.59,"npi":[]}]}]}]},{"name":"DME compression stockings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530NU","description":"Compression stocking BK18-30","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":60.0,"npi":[1891728697]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140359","description":"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions)","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.9,"providers":[{"billed_charge":740.8,"npi":[1598314437]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":275.0,"npi":[1598701690]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":47.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":21.18,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.68,"providers":[{"billed_charge":30.14,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1073590683,1144937442]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]},{"allowed_amount":11.89,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1073590683,1144937442]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":267.75,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.64,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]},{"allowed_amount":17.82,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":44.61,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":27.53,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":158.55,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1073590683,1144937442]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":77.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":32.34,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":102.91,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":67.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87070","description":"Culture, Bacterial; Any Other Source Except Urine/Blood/Stool W/Isolatn & Presumptive Id","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":51.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.65,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]},{"allowed_amount":44.2,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":210.97,"providers":[{"billed_charge":323.0,"npi":[1114261229]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1780899799]}]},{"allowed_amount":170.91,"providers":[{"billed_charge":350.0,"npi":[1023004033]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1144937442,1386002038]},{"billed_charge":418.0,"npi":[1144937442,1386002038,1629727219]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1770272148]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":39.0,"npi":[1104833979]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.5,"providers":[{"billed_charge":92.5,"npi":[1851882724]}]},{"allowed_amount":46.25,"providers":[{"billed_charge":46.25,"npi":[1851882724]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":92.5,"npi":[1851882724]}]},{"allowed_amount":112.56,"providers":[{"billed_charge":138.75,"npi":[1851882724]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":232.25,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1295726032]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"912180910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":62.14,"npi":[1821092297]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1457408601]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":355.0,"npi":[1518199272]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.26,"providers":[{"billed_charge":219.18,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.53,"providers":[{"billed_charge":43.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.3,"providers":[{"billed_charge":195.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":108.15,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":112.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":220.51,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":53.75,"npi":[1609104496]},{"billed_charge":62.5,"npi":[1609104496]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.5,"providers":[{"billed_charge":107.5,"npi":[1609104496]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.54,"providers":[{"billed_charge":4.18,"npi":[1538144910]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731QZ","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1295722403]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":99.9,"npi":[1619295516]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":199.8,"npi":[1619295516]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1356331060,1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.9,"providers":[{"billed_charge":94.44,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.8,"providers":[{"billed_charge":39.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":23.0,"npi":[1528190956]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"455412849"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":210.0,"npi":[1518935618]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":157.5,"providers":[{"billed_charge":388.35,"npi":[1295827780]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[1538144910]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.4,"providers":[{"billed_charge":36.0,"npi":[1497765291]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.16,"providers":[{"billed_charge":45.0,"npi":[1184794182]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93298TC","description":"Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":79.82,"providers":[{"billed_charge":110.0,"npi":[1124678263]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.06,"providers":[{"billed_charge":143.29,"npi":[1609858729]},{"billed_charge":149.02,"npi":[1609858729]}]},{"allowed_amount":81.18,"providers":[{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":410.0,"npi":[1366604589,1942491899]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":139.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":110.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.39,"providers":[{"billed_charge":149.28,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":98.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":43.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","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","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.17,"providers":[{"billed_charge":266.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.94,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.6,"providers":[{"billed_charge":117.5,"npi":[1851882724]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":509.2,"providers":[{"billed_charge":536.0,"npi":[1265773055]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99244","description":"Office or OP consult for new or est. patient, req. a medically apt history and/or Ex. and moderate level of medical decision making. Total time of the encounter, 40 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":704.9,"providers":[{"billed_charge":742.0,"npi":[1538146626,1821068172]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":633.65,"providers":[{"billed_charge":667.0,"npi":[1669445771]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":245.1,"providers":[{"billed_charge":258.0,"npi":[1437137213,1538146626,1689651689]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.43,"providers":[{"billed_charge":23.09,"npi":[1255990503]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":517.5,"providers":[{"billed_charge":2785.5,"npi":[1295827780]}]},{"allowed_amount":345.0,"providers":[{"billed_charge":1857.0,"npi":[1295827780]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"341720429"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.74,"npi":[1619980430]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]},{"billed_charge":48.3,"npi":[]}]},{"allowed_amount":8.91,"providers":[{"billed_charge":27.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[]},{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":75.62,"npi":[1073599478]}]},{"allowed_amount":9.93,"providers":[{"billed_charge":51.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":34.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]},{"billed_charge":47.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":187.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":48.35,"npi":[]},{"billed_charge":123.9,"npi":[1073599478]},{"billed_charge":144.08,"npi":[1073599478]}]},{"allowed_amount":16.78,"providers":[{"billed_charge":40.93,"npi":[]},{"billed_charge":48.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":40.67,"npi":[1073599478]},{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83935","description":"Osmolality; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.1,"providers":[{"billed_charge":78.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.6,"npi":[]}]},{"allowed_amount":3.95,"providers":[{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.57,"providers":[{"billed_charge":332.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]},{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":31.8,"npi":[]},{"billed_charge":200.9,"npi":[1073599478]},{"billed_charge":206.85,"npi":[1073599478]},{"billed_charge":209.31,"npi":[1073599478]}]},{"allowed_amount":22.09,"providers":[{"billed_charge":31.8,"npi":[]},{"billed_charge":194.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":48.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":133.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":54.0,"npi":[]}]},{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":188.85,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":102.6,"providers":[{"billed_charge":114.0,"npi":[1528039484]}]},{"allowed_amount":103.5,"providers":[{"billed_charge":115.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]},{"billed_charge":32.23,"npi":[]},{"billed_charge":24.0,"npi":[]}]},{"allowed_amount":5.86,"providers":[{"billed_charge":24.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.1,"providers":[{"billed_charge":38.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":39.9,"npi":[]},{"billed_charge":37.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]},{"billed_charge":77.24,"npi":[1073599478]}]},{"allowed_amount":4.69,"providers":[{"billed_charge":38.79,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.9,"providers":[{"billed_charge":82.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.3,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86664","description":"Antibody; Epstein-Barr (Eb) Virus, Nuclear Antigen (Ebna)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.88,"providers":[{"billed_charge":54.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":23.46,"npi":[1073599478]},{"billed_charge":45.88,"npi":[1073599478]},{"billed_charge":75.6,"npi":[1073599478]},{"billed_charge":58.35,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.03,"providers":[{"billed_charge":71.16,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":15.19,"npi":[1073599478]},{"billed_charge":29.72,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.92,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":111.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.27,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":37.0,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.98,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.86,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]},{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]},{"billed_charge":236.25,"npi":[]},{"billed_charge":233.17,"npi":[1073599478]}]},{"allowed_amount":63.65,"providers":[{"billed_charge":236.25,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":107.0,"npi":[]},{"billed_charge":87.6,"npi":[1073599478]},{"billed_charge":133.52,"npi":[1073599478]},{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":8.83,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":559.28,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":22.08,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":22.08,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":30.9,"npi":[1073599478]},{"billed_charge":98.7,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.03,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"392325648"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.31,"providers":[{"billed_charge":200.0,"npi":[1437049137]}]},{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1437049137]}]}]},{"tin":{"type":"ein","value":"861826692"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1649162397]}]}]},{"tin":{"type":"ein","value":"851200692"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":200.0,"npi":[1275418659]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":61.48,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84702","description":"Gonadotropin, Chorionic (Hcg); Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]},{"allowed_amount":15.05,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87150","description":"Culture, Typing; Id By Nucleic Acid (DNA or RNA Probe, Amplified Probe Technique, Per Culture or Isolate, ea organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.16,"providers":[{"billed_charge":163.35,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":115.98,"npi":[]}]},{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":633.65,"providers":[{"billed_charge":667.0,"npi":[1437137213]}]}]},{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":554.21,"providers":[{"billed_charge":623.0,"npi":[1134310576,1356796833]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"362193608"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":86.82,"providers":[{"billed_charge":252.44,"npi":[1720033673]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":188.0,"npi":[1063751642]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911336707"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":271.77,"providers":[{"billed_charge":302.0,"npi":[1760724892]}]},{"allowed_amount":261.21,"providers":[{"billed_charge":302.0,"npi":[1760724892]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1720039803,1902915515]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1275710865]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":400.95,"providers":[{"billed_charge":597.3,"npi":[1861787012]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"481290066"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":67.84,"providers":[{"billed_charge":114.0,"npi":[1942024377]}]}]},{"tin":{"type":"ein","value":"050585249"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.0,"providers":[{"billed_charge":183.86,"npi":[1952699043]}]},{"allowed_amount":46.0,"providers":[{"billed_charge":91.93,"npi":[1952699043]}]},{"allowed_amount":35.05,"providers":[{"billed_charge":91.93,"npi":[1750438727,1952699043]}]},{"allowed_amount":70.1,"providers":[{"billed_charge":183.86,"npi":[1750438727,1952699043]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"481290066"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.49,"providers":[{"billed_charge":71.0,"npi":[1942024377]}]}]},{"tin":{"type":"ein","value":"050585249"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":55.4,"providers":[{"billed_charge":183.86,"npi":[1952699043]}]},{"allowed_amount":78.0,"providers":[{"billed_charge":183.86,"npi":[1952699043]}]},{"allowed_amount":39.0,"providers":[{"billed_charge":95.0,"npi":[1952699043]},{"billed_charge":91.93,"npi":[1952699043]},{"billed_charge":183.86,"npi":[1952699043]}]},{"allowed_amount":166.19,"providers":[{"billed_charge":183.86,"npi":[1952699043]}]},{"allowed_amount":66.7,"providers":[{"billed_charge":183.86,"npi":[1750438727,1952699043]}]},{"allowed_amount":166.21,"providers":[{"billed_charge":183.86,"npi":[1750438727]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82310","description":"Calcium; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.74,"providers":[{"billed_charge":25.08,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.34,"providers":[{"billed_charge":208.32,"npi":[1538105366]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":94.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":44.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.08,"providers":[{"billed_charge":1138.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":92.79,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7738726","description":"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":42.57,"providers":[{"billed_charge":86.9,"npi":[1326509662]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]},{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]},{"allowed_amount":140.84,"providers":[{"billed_charge":244.0,"npi":[1659574127]}]},{"allowed_amount":281.68,"providers":[{"billed_charge":488.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":94.1,"providers":[{"billed_charge":216.0,"npi":[1659574127]}]},{"allowed_amount":47.05,"providers":[{"billed_charge":108.0,"npi":[1659574127]}]},{"allowed_amount":611.65,"providers":[{"billed_charge":1404.0,"npi":[1659574127]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":198.17,"providers":[{"billed_charge":315.0,"npi":[1376856385]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":293.0,"npi":[1568725695]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":173.69,"providers":[{"billed_charge":313.0,"npi":[1871516625]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1659383842]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585JW","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.96,"providers":[{"billed_charge":16.8,"npi":[1235258591]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":33.5,"npi":[1962897298]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.67,"providers":[{"billed_charge":190.31,"npi":[1255990503,1346502770]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":185.67,"providers":[{"billed_charge":190.31,"npi":[1851749063]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"392960395"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1801483193]}]}]},{"tin":{"type":"ein","value":"820505499"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":60.0,"npi":[1528092822]}]}]},{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]},{"tin":{"type":"ein","value":"823356956"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1437658499]}]}]},{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":55.0,"npi":[1407948169]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":108.24,"providers":[{"billed_charge":595.96,"npi":[1609858729]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4.6,"providers":[{"billed_charge":25.09,"npi":[1356334577]}]},{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]},{"allowed_amount":46.0,"providers":[{"billed_charge":250.9,"npi":[1356334577]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"842833120"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":160.2,"providers":[{"billed_charge":228.86,"npi":[1104466994]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":140.0,"providers":[{"billed_charge":784.62,"npi":[1790734036]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99222","description":"Int. hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or EX and moderate level of medical decision making. Total time, 55 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":346.54,"providers":[{"billed_charge":355.2,"npi":[1073174165]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":227.7,"providers":[{"billed_charge":274.58,"npi":[1659853992,1679974059]}]},{"allowed_amount":267.88,"providers":[{"billed_charge":274.58,"npi":[1215469721,1376708677,1740930874]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]},{"billed_charge":53.55,"npi":[]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82679","description":"Estrone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.93,"providers":[{"billed_charge":205.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":89.25,"npi":[]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":157.41,"npi":[]},{"billed_charge":158.55,"npi":[1073599478]}]},{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.87,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84478","description":"Triglycerides","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.29,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87496","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.14,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.4,"providers":[{"billed_charge":105.28,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.15,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.45,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":149.85,"providers":[{"billed_charge":240.0,"npi":[1619112216]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":438.25,"providers":[{"billed_charge":528.48,"npi":[1275834319,1588558019,1871876060]}]},{"allowed_amount":515.59,"providers":[{"billed_charge":528.48,"npi":[1033435490,1164840757,1598855181,1992025787]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":449.55,"providers":[{"billed_charge":449.55,"npi":[1467405407]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1851628218,1992822951]}]},{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1902888126]}]},{"allowed_amount":361.16,"providers":[{"billed_charge":370.19,"npi":[1144531070,1992025787]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":49.14,"providers":[{"billed_charge":68.01,"npi":[1588558019,1992822951]}]},{"allowed_amount":57.81,"providers":[{"billed_charge":68.01,"npi":[1144531070,1992025787]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":292.6,"providers":[{"billed_charge":332.52,"npi":[1831431980]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97032","description":"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"261501890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.76,"providers":[{"billed_charge":25.0,"npi":[1427083807]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":254.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.7,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":126.45,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8836059","description":"Morphometric Analysis, Tumor Immunohistochemistry, Quantitative Or Semiquantitative, Ea Antibody; Manual","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":106.58,"providers":[{"billed_charge":200.0,"npi":[1740733708]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":275.0,"npi":[1891264545]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral Feed Supp Pump Per D","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":102.45,"providers":[{"billed_charge":415.5,"npi":[1134151699]}]},{"allowed_amount":375.9,"providers":[{"billed_charge":537.0,"npi":[1134151699]}]},{"allowed_amount":184.41,"providers":[{"billed_charge":483.3,"npi":[1134151699]}]},{"allowed_amount":13.66,"providers":[{"billed_charge":56.8,"npi":[1134151699]}]},{"allowed_amount":34.15,"providers":[{"billed_charge":89.5,"npi":[1134151699]}]},{"allowed_amount":136.6,"providers":[{"billed_charge":358.0,"npi":[1134151699]}]},{"allowed_amount":204.9,"providers":[{"billed_charge":537.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4088","description":"Gastrostomy/jejunostomy tube, low-profile, any material, any type, each","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":47.28,"providers":[{"billed_charge":795.0,"npi":[1134151699]},{"billed_charge":1278.0,"npi":[1134151699]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":275.0,"npi":[1639490006]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1043411168]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"870653643"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":134.28,"providers":[{"billed_charge":360.52,"npi":[1487646360]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":150.7,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":117.52,"npi":[1073599478]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":140.0,"providers":[{"billed_charge":784.62,"npi":[1790734036]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":196.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82397","description":"Chemiluminescent Assay","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":107.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84445","description":"Thyroid Stimulating Immunoglobulins (Tsi)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.79,"providers":[{"billed_charge":340.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86146","description":"Beta 2 Glycoprotein I Antibody, Ea","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.0,"providers":[{"billed_charge":136.16,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8623559","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.06,"providers":[{"billed_charge":671.51,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.5,"providers":[{"billed_charge":85.12,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":91.97,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"830230892"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.95,"providers":[{"billed_charge":15.0,"npi":[1144577032,1578848487]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":161.02,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":248.75,"npi":[1538144910]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.98,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":150.7,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":80.18,"providers":[{"billed_charge":179.18,"npi":[1033849252,1073812053]}]},{"allowed_amount":94.32,"providers":[{"billed_charge":179.18,"npi":[1548729734]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":115.13,"providers":[{"billed_charge":222.0,"npi":[1891312682]}]},{"allowed_amount":99.49,"providers":[{"billed_charge":222.0,"npi":[1740425990]}]},{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1568480804,1891819843]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":49.42,"providers":[{"billed_charge":56.16,"npi":[1831431980]}]},{"allowed_amount":47.43,"providers":[{"billed_charge":56.16,"npi":[1518455054]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1144263419]}]},{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1679132195]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":71.08,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82977","description":"Glutamyltransferase, Gamma (Ggt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.2,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.92,"providers":[{"billed_charge":195.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":54.2,"npi":[1073599478]},{"billed_charge":119.7,"npi":[]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":214.2,"npi":[]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"810489339"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":49.5,"npi":[1437207966]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":48.35,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":45.9,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":149.1,"npi":[]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":32.0,"npi":[1033173638]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]},{"allowed_amount":2400.0,"providers":[{"billed_charge":4600.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.38,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"461650703"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":195.0,"npi":[1811256621]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"870217280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":60.27,"providers":[{"billed_charge":129.0,"npi":[1053827568]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"931331676"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":97.32,"npi":[1245365857,1831699008]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":65.21,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116233","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) gene analysis; full sequence analysis and full duplication/deletion analysis","allowed_amounts":[{"tin":{"type":"ein","value":"870514323"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.0,"providers":[{"billed_charge":4040.0,"npi":[1669484473]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[1073599478]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":32.0,"npi":[1790875318]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"272614493"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":32.0,"npi":[1063482305]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":43.5,"providers":[{"billed_charge":345.0,"npi":[1912903717]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80355","description":"Gabapentin, non-blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":15.51,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80366","description":"Pregabalin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":15.96,"npi":[]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.46,"providers":[{"billed_charge":27.0,"npi":[1497700975]}]}]},{"tin":{"type":"ein","value":"930386868"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"463495681"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.68,"providers":[{"billed_charge":224.0,"npi":[1184005332,1225204886,1790168409]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":59.68,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":59.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":17.05,"npi":[]},{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":102.9,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":139.65,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1386002038]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]},{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.82,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]},{"allowed_amount":17.64,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":44.61,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.46,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]},{"allowed_amount":20.25,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1386002038]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":139.65,"npi":[1295726032]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.41,"providers":[{"billed_charge":30.08,"npi":[]},{"billed_charge":30.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]},{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.68,"npi":[]},{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":46.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":182.1,"providers":[{"billed_charge":263.2,"npi":[1619618469]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":190.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":118.73,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":73.14,"providers":[{"billed_charge":105.28,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":190.64,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":22.39,"npi":[1295726032]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":30.17,"npi":[1295726032]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"882950399"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":63.25,"providers":[{"billed_charge":130.0,"npi":[1245994854]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":535.0,"npi":[1508589607]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":317.74,"providers":[{"billed_charge":571.0,"npi":[1497700975]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.75,"providers":[{"billed_charge":323.0,"npi":[1144606146,1831270065]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1386002038,1558916049,1952056376]},{"billed_charge":418.0,"npi":[1386002038,1508589607,1952056376]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":209.0,"providers":[{"billed_charge":437.0,"npi":[1932634706]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":170.91,"providers":[{"billed_charge":350.0,"npi":[1124529565]}]},{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1063632974,1699296491]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":39.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.95,"providers":[{"billed_charge":92.79,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":136.11,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":56.19,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":37.0,"npi":[1578504957]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":154.13,"npi":[]}]},{"allowed_amount":57.39,"providers":[{"billed_charge":99.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":212.16,"providers":[{"billed_charge":300.0,"npi":[1508594136]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":107.1,"npi":[1538144910]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.5,"providers":[{"billed_charge":345.0,"npi":[1912903717]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"810494987"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1073690244]}]}]},{"tin":{"type":"ein","value":"810531276"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":60.0,"npi":[1346395944]},{"billed_charge":55.0,"npi":[1346395944]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1619934817]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":318.6,"providers":[{"billed_charge":354.0,"npi":[1619952009]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.64,"providers":[{"billed_charge":84.0,"npi":[1154182269]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.54,"providers":[{"billed_charge":148.0,"npi":[1154182269]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4222NU","description":"Drug Infusion Pump Supplies","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":38.0,"providers":[{"billed_charge":66.0,"npi":[1790730596]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":31.35,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":94.32,"providers":[{"billed_charge":165.45,"npi":[1316696966]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":144.74,"providers":[{"billed_charge":315.0,"npi":[1588299838]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"820487791"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.73,"providers":[{"billed_charge":70.0,"npi":[1336151919]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908RT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.0,"providers":[{"billed_charge":15.0,"npi":[]}]},{"allowed_amount":30.0,"providers":[{"billed_charge":30.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":202.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":39.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":12.0,"npi":[1205272986]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1013086693]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911866685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":316.26,"npi":[1033435045]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":65.0,"npi":[1770619892]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94762","description":"Noninvasive Ear/Pulse Oximetry, Oxygen Saturation; Continuous Overnight Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.91,"providers":[{"billed_charge":50.0,"npi":[1518906940]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":228.39,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":231.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":35.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":256.58,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"870281028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":189.0,"npi":[1952015273]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.87,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":267.0,"npi":[1861533481]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.59,"providers":[{"billed_charge":313.18,"npi":[1467890137]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":65.0,"npi":[1770619892]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":59.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[1073599478]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":201.07,"providers":[{"billed_charge":350.0,"npi":[1609304559]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":263.2,"npi":[1588314769]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":85.46,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1447665971]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"911742914"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":39.83,"providers":[{"billed_charge":52.0,"npi":[1306849955]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":240.92,"providers":[{"billed_charge":293.0,"npi":[1952881898]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"383907970"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":124.78,"npi":[1467890137]}]}]}]},{"name":"Transplant hospital visit IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":199.89,"providers":[{"billed_charge":259.6,"npi":[1134551385,1417319484,1487216263,1558467506,1710062526,1801901210,1881907871,1942706403,1982047999]}]},{"allowed_amount":220.66,"providers":[{"billed_charge":259.6,"npi":[1073045373,1134551385]}]}]}]},{"name":"Transplant hospital visit IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":298.14,"providers":[{"billed_charge":387.2,"npi":[1013202662,1033538095,1043592454,1073606331,1205194636,1235588096,1316056377,1326176330,1326572306,1336249275,1336621267,1346621851,1356086102,1417319484,1477074250,1548423502,1598081572,1598090631,1609309350,1679663538,1679775092,1710062526,1801901210,1811278971,1831274646,1851611875,1891085171,1942706403,1992246136,1992330179]}]},{"allowed_amount":298.15,"providers":[{"billed_charge":387.2,"npi":[1811278971]}]},{"allowed_amount":329.12,"providers":[{"billed_charge":387.2,"npi":[1073606331,1396932166]}]}]}]},{"name":"Transplant hospital visit IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99291","description":"Critical Care, Evaluation & Management; First 30-74 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":538.69,"providers":[{"billed_charge":699.6,"npi":[1205194636,1346621851]}]}]}]},{"name":"Transplant lab IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":91.48,"providers":[{"billed_charge":118.8,"npi":[1124103940]}]}]}]},{"name":"Transplant lab IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330826","description":"Echocardiography, Transthoracic, 2d, W/Wo M-Mode; Follow-Up/Limited Study","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":61.83,"providers":[{"billed_charge":80.3,"npi":[1245370436,1760572622]}]},{"allowed_amount":61.84,"providers":[{"billed_charge":80.3,"npi":[1104144476]}]}]}]},{"name":"Transplant lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330826","description":"Echocardiography, Transthoracic, 2d, W/Wo M-Mode; Follow-Up/Limited Study","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":61.83,"providers":[{"billed_charge":80.3,"npi":[1720584683]}]}]}]},{"name":"Transplant xray IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":22.02,"providers":[{"billed_charge":28.6,"npi":[1083822068,1134892656,1275547648,1407598121,1518428812,1538101456,1609810902,1720284573]}]},{"allowed_amount":24.31,"providers":[{"billed_charge":28.6,"npi":[1083822068,1134892656,1508251323,1538101456,1720284573]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.9,"providers":[{"billed_charge":129.42,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1225788003]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":103.12,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":106.05,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":243.6,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":86.42,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":182.7,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921395","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":243.2,"providers":[{"billed_charge":256.0,"npi":[1598326308]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":481.65,"providers":[{"billed_charge":507.0,"npi":[1659476588]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":137.22,"providers":[{"billed_charge":2988.1,"npi":[1063011898]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1790721538]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.64,"providers":[{"billed_charge":185.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":228.39,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":231.51,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.55,"providers":[{"billed_charge":129.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":109.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":250.89,"providers":[{"billed_charge":385.99,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9213426","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":63.75,"providers":[{"billed_charge":89.1,"npi":[1952941106]}]},{"allowed_amount":44.33,"providers":[{"billed_charge":89.1,"npi":[1952941106]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":254.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87500","description":"Infectious Agent Detection by Nucleic Acid (DNA Or RNA); Vancomycin Resistance, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.6,"providers":[{"billed_charge":50.0,"npi":[1508594136]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":111.63,"providers":[{"billed_charge":300.0,"npi":[1508594136]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"202281664"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":144.75,"providers":[{"billed_charge":250.0,"npi":[1487620266]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":154.25,"providers":[{"billed_charge":226.0,"npi":[1356922579]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":36.4,"npi":[1366479099]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1366479099]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0784NU","description":"Ext Amb Infusn Pump Insulin","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4175.0,"providers":[{"billed_charge":7995.0,"npi":[1619295516]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1609395102]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.42,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.64,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1609395102]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1609395102]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861747274"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1952078701]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1033139068]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":215.0,"npi":[1811218720]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.57,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":94.5,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1497167720]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7683026","description":"Echography, Transvaginal","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.83,"providers":[{"billed_charge":113.0,"npi":[1487729281]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7685626","description":"Echography, Pelvic (Nonobstetric), B-Scan &/Or Real Time W/Image Documentation; Complete","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":112.0,"npi":[1487729281]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.16,"providers":[{"billed_charge":45.0,"npi":[1184794182]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.76,"providers":[{"billed_charge":452.0,"npi":[1457747206]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":265.32,"providers":[{"billed_charge":480.0,"npi":[1922452515]}]},{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":219.2,"providers":[{"billed_charge":219.2,"npi":[1699902726]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":37.19,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":980.1,"providers":[{"billed_charge":1089.0,"npi":[1902068364]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1366479099]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.29,"providers":[{"billed_charge":79.0,"npi":[1831738756]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":50.0,"npi":[1609104496]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1295722403]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":605.55,"providers":[{"billed_charge":1279.02,"npi":[1609858729]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":175.64,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1730281502]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro office visit - no encounter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930795159"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":98.96,"providers":[{"billed_charge":100.0,"npi":[1396069225]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908RT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"DME tens unit rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0730RR","description":"Tens Four Lead","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":10.67,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]},{"allowed_amount":20.65,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4557NU","description":"Lead Wires, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":12.19,"providers":[{"billed_charge":39.0,"npi":[1770511552]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7055126","description":"MRI, brain (including brain stem); without contrast material","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":211.28,"providers":[{"billed_charge":443.27,"npi":[1003089624]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":44.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9379","description":"Home infusion therapy, infusion therapy, not otherwise classified","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":59.0,"providers":[{"billed_charge":560.65,"npi":[1790734036]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82248","description":"Bilirubin; Direct","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.54,"providers":[{"billed_charge":5.66,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1760299986]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":101.33,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.26,"providers":[{"billed_charge":245.7,"npi":[]}]},{"allowed_amount":8.54,"providers":[{"billed_charge":98.11,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.31,"providers":[{"billed_charge":239.4,"npi":[]}]},{"allowed_amount":10.46,"providers":[{"billed_charge":71.94,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1760299986]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":41.45,"npi":[]},{"billed_charge":117.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":22.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84100","description":"Phosphorus Inorganic (Phosphate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":5.66,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1760299986]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":57.18,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.4,"providers":[{"billed_charge":886.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":254.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":48.13,"npi":[]},{"billed_charge":95.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.05,"providers":[{"billed_charge":238.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":113.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]},{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87497","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.43,"providers":[{"billed_charge":463.05,"npi":[]}]},{"allowed_amount":47.12,"providers":[{"billed_charge":463.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.98,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":457.34,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"262072378"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.09,"providers":[{"billed_charge":15.0,"npi":[1285085480]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.95,"providers":[{"billed_charge":48.9,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"465323819"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":148.05,"providers":[{"billed_charge":180.0,"npi":[1568611861]}]}]},{"tin":{"type":"ein","value":"873064689"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.09,"providers":[{"billed_charge":150.0,"npi":[1558700583]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":580.79,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.29,"providers":[{"billed_charge":2.29,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.36,"providers":[{"billed_charge":2.36,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.36,"providers":[{"billed_charge":2.36,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.36,"providers":[{"billed_charge":2.36,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.02,"providers":[{"billed_charge":471.0,"npi":[1023004033]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":317.74,"providers":[{"billed_charge":571.0,"npi":[1689985822]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":185.0,"npi":[1851882724]},{"billed_charge":138.75,"npi":[1851882724]}]},{"allowed_amount":75.04,"providers":[{"billed_charge":107.5,"npi":[1851882724]}]},{"allowed_amount":37.52,"providers":[{"billed_charge":62.5,"npi":[1851882724]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":106.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":87.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":46.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":73.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":82.39,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":82.4,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"Urinalysis, Dip Stick/Tablet Reagent; Automated, W/O Microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":6.0,"npi":[1356749253]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9940695","description":"Smoking and Tobacco Use Cessation Counseling Visit; Intermediate, Greater than 3 Minutes up to 10 Minutes","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":28.81,"providers":[{"billed_charge":30.0,"npi":[1144878810]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.39,"providers":[{"billed_charge":128.29,"npi":[1689639544]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.15,"providers":[{"billed_charge":37.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":99.83,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83935","description":"Osmolality; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.2,"providers":[{"billed_charge":76.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.85,"providers":[{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":32.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":61.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":49.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.05,"providers":[{"billed_charge":79.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":572.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"363843543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":162.18,"providers":[{"billed_charge":221.0,"npi":[1134869670]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":32.55,"npi":[1063497451]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":99.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]},{"billed_charge":75.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.04,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.92,"providers":[{"billed_charge":247.76,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":216.6,"providers":[{"billed_charge":228.0,"npi":[1386623551]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.8,"providers":[{"billed_charge":87.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1619934817]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":364.8,"providers":[{"billed_charge":384.0,"npi":[1770568735]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97012GP","description":"Application, Modality To 1+ Areas; Traction, Mechanical","allowed_amounts":[{"tin":{"type":"ein","value":"342005143"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.27,"providers":[{"billed_charge":30.0,"npi":[1083786768]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":302.08,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":247.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":115.44,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":154.4,"providers":[{"billed_charge":210.56,"npi":[1245198084]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":343.68,"providers":[{"billed_charge":479.16,"npi":[1043411168]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":303.27,"providers":[{"billed_charge":360.0,"npi":[1538507520]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":9.2,"providers":[{"billed_charge":50.18,"npi":[1356334577]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83090","description":"Homocystine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.53,"providers":[{"billed_charge":195.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":44.61,"npi":[]},{"billed_charge":49.43,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[]},{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":194.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]},{"billed_charge":109.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84479","description":"Thyroid Hormone (T3/T4) Uptake/Thyroid Hormone Binding Ratio (Thbr)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":46.97,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":205.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":12.0,"npi":[1992760664]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":52.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":106.7,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1932166386]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":236.62,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":220.13,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":112.41,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":52.05,"npi":[1609812445]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"810531276"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":60.0,"npi":[1346395944]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":2988.1,"npi":[1063011898]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":101.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":48.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":109.08,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1790225167]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.7,"npi":[1538144910]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1487635371]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":429.78,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":185.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":81.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":41.4,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.07,"providers":[{"billed_charge":38.89,"npi":[]},{"billed_charge":38.99,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":41.4,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.5,"providers":[{"billed_charge":74.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.9,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.51,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.74,"providers":[{"billed_charge":240.0,"npi":[1730466590]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":105.0,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":210.0,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"861826692"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":124.66,"providers":[{"billed_charge":294.38,"npi":[1477104313]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1063450120]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1295722403]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":9.38,"providers":[{"billed_charge":17.0,"npi":[1609395102]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1417697061]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.34,"providers":[{"billed_charge":72.75,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818459","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; First Marker","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.73,"providers":[{"billed_charge":440.4,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.38,"providers":[{"billed_charge":282.9,"npi":[1245494517]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"461650703"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":160.0,"npi":[1811256621]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.75,"providers":[{"billed_charge":44.75,"npi":[1851882724]}]},{"allowed_amount":46.9,"providers":[{"billed_charge":50.0,"npi":[1851882724]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.16,"providers":[{"billed_charge":120.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME CPAP rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0601RR","description":"Continuous positive airway pressure (cpap) device","allowed_amounts":[{"tin":{"type":"ein","value":"611423158"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":52.6,"providers":[{"billed_charge":252.0,"npi":[1073551446]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860828589"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.0,"providers":[{"billed_charge":6.0,"npi":[1679955058]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":88.89,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":45.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":28.27,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.46,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]},{"allowed_amount":20.25,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":26.39,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":165.59,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84560","description":"Uric Acid; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":28.47,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860828589"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.0,"providers":[{"billed_charge":6.0,"npi":[1861488736]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":263.2,"npi":[1497599104]}]}]},{"tin":{"type":"ein","value":"994844521"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":200.0,"npi":[1447474945]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1376510008]},{"billed_charge":418.0,"npi":[1376510008]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.75,"providers":[{"billed_charge":323.0,"npi":[1114261229,1831270065]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":292.22,"providers":[{"billed_charge":336.0,"npi":[1093375438]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1114261229]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":99.44,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]},{"allowed_amount":10.68,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":107.16,"npi":[1538144910]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":43.65,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":149.74,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]},{"allowed_amount":283.5,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930425580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":355.0,"npi":[1053668541]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[]},{"billed_charge":87.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":44.75,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Home health drugs/supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7205","description":"injection, factor VII Fc fusion protein (recombinant), per IU","allowed_amounts":[{"tin":{"type":"ein","value":"465181020"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":24687.53,"providers":[{"billed_charge":97685.83,"npi":[1548687908]},{"billed_charge":100489.95,"npi":[1548687908]},{"billed_charge":279309.6,"npi":[1548687908]}]},{"allowed_amount":19243.39,"providers":[{"billed_charge":78329.7,"npi":[1548687908]}]},{"allowed_amount":22474.46,"providers":[{"billed_charge":89490.24,"npi":[1548687908]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.8,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140859","description":"Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1200.0,"providers":[{"billed_charge":2300.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":198.46,"providers":[{"billed_charge":275.0,"npi":[1972759124]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1992149025]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.84,"providers":[{"billed_charge":239.58,"npi":[1083973002]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"870574059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.39,"providers":[{"billed_charge":76.0,"npi":[1982079208]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":168.71,"providers":[{"billed_charge":275.0,"npi":[1124309224]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":85.13,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":152.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":42.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":114.29,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":75.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":117.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":52.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":111.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":50.0,"npi":[1023150851]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]},{"allowed_amount":11.62,"providers":[{"billed_charge":53.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.73,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":469.69,"providers":[{"billed_charge":684.32,"npi":[1245198084]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"873042382"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.01,"providers":[{"billed_charge":205.0,"npi":[1972985927]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1023150851]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":254.63,"providers":[{"billed_charge":391.0,"npi":[1891787743]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1336568484]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":347.73,"providers":[{"billed_charge":347.73,"npi":[1194082677]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":268.39,"providers":[{"billed_charge":275.1,"npi":[1699200733]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":138.93,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":549.34,"providers":[{"billed_charge":563.1,"npi":[1740245299]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":118.83,"providers":[{"billed_charge":191.0,"npi":[1831755669]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":306.99,"providers":[{"billed_charge":370.19,"npi":[1609526607]}]},{"allowed_amount":370.19,"providers":[{"billed_charge":370.19,"npi":[1609526607]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.59,"providers":[{"billed_charge":53.9,"npi":[1609526607,1659537405]}]},{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1609526607]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":206.27,"providers":[{"billed_charge":225.24,"npi":[1407084841]}]}]}]},{"name":"Chemical lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":237.8,"npi":[1366479099]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"363949277"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.68,"providers":[{"billed_charge":45.0,"npi":[1366461006]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":131.73,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.78,"providers":[{"billed_charge":65.94,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.62,"providers":[{"billed_charge":197.02,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.09,"providers":[{"billed_charge":29.72,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.65,"providers":[{"billed_charge":228.0,"npi":[1447415773]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"882977235"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":175.67,"providers":[{"billed_charge":352.0,"npi":[1801209119]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":7.04,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.56,"providers":[{"billed_charge":31.56,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":148.62,"providers":[{"billed_charge":273.0,"npi":[1386274553]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7683026","description":"Echography, Transvaginal","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.83,"providers":[{"billed_charge":113.0,"npi":[1487729281]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7685626","description":"Echography, Pelvic (Nonobstetric), B-Scan &/Or Real Time W/Image Documentation; Complete","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.99,"providers":[{"billed_charge":112.0,"npi":[1487729281]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":106.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.21,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661XU","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.86,"providers":[{"billed_charge":40.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":344.0,"providers":[{"billed_charge":370.0,"npi":[1770973646]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1649767963]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":31.8,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.74,"providers":[{"billed_charge":373.8,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.42,"providers":[{"billed_charge":122.0,"npi":[1659574127]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"264251481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":65.0,"npi":[1770619892]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":24.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":45.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":44.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1629727219]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":41.67,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":535.0,"npi":[1629727219]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":324.32,"providers":[{"billed_charge":560.0,"npi":[1225515968]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88342","description":"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.28,"providers":[{"billed_charge":219.0,"npi":[1225515968]}]}]}]},{"name":"Diagnostic testing office professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":301.7,"npi":[1336420140]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1528039484]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":337.5,"providers":[{"billed_charge":375.0,"npi":[1528039484]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4353KX","description":"Intermittent Urinary Cath","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1497.6,"providers":[{"billed_charge":2052.0,"npi":[1639160708]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":54.1,"npi":[]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"481274572"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.0,"providers":[{"billed_charge":25.0,"npi":[1033196027]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":131.73,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":122.62,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":167.18,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":28.21,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[]}]}]}]},{"name":"Surgical pathology office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830526","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":198.0,"providers":[{"billed_charge":198.0,"npi":[1942298161]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral Feed Supp Pump Per D","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":204.9,"providers":[{"billed_charge":558.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4160","description":"EF ped caloric dense>/=0.7kc","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":142.2,"providers":[{"billed_charge":588.0,"npi":[1134151699]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B9002RR","description":"Enteral nutrition infusion pump, any type","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":67.79,"providers":[{"billed_charge":444.75,"npi":[1134151699]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME CPAP rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0601RR","description":"Continuous positive airway pressure (cpap) device","allowed_amounts":[{"tin":{"type":"ein","value":"611423158"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":52.6,"providers":[{"billed_charge":252.0,"npi":[1073551446]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":54.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":25.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1851968838]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":22.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":30.9,"npi":[1073599478]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":50.0,"npi":[1851882724]}]},{"allowed_amount":75.04,"providers":[{"billed_charge":92.5,"npi":[1609104496]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1811218720]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1811218720]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":237.5,"providers":[{"billed_charge":250.0,"npi":[1538334628]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":54.12,"providers":[{"billed_charge":286.52,"npi":[1609858729]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":213.15,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]}]},{"allowed_amount":35.09,"providers":[{"billed_charge":148.19,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":149.72,"npi":[1609812445]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.37,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":97.63,"npi":[]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.65,"providers":[{"billed_charge":125.46,"npi":[1609812445]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":268.46,"providers":[{"billed_charge":268.46,"npi":[1811428519]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":90.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":31.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83945","description":"Oxalate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":79.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.25,"providers":[{"billed_charge":22.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84392","description":"Sulfate, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":29.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":98.95,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[1073599478]},{"billed_charge":58.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.7,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]},{"allowed_amount":105.78,"providers":[{"billed_charge":111.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"882977235"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":91.0,"providers":[{"billed_charge":198.0,"npi":[1912428343]}]},{"allowed_amount":107.06,"providers":[{"billed_charge":198.0,"npi":[1053809806,1437214350]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"823689737"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":124.66,"providers":[{"billed_charge":160.0,"npi":[1477794691]}]},{"allowed_amount":103.31,"providers":[{"billed_charge":160.0,"npi":[1477794691]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Office service or supply","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99070","description":"Supplies Provided By Physician Over & Above Those Included In The Service","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":7.95,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211GT","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1972828333]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97016","description":"Application, Modality To 1+ Areas; Vasopneumatic Devices","allowed_amounts":[{"tin":{"type":"ein","value":"264283460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.68,"providers":[{"billed_charge":28.0,"npi":[1336868868]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1619934817]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":190.05,"npi":[]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":119.9,"npi":[1073599478]},{"billed_charge":85.05,"npi":[1073599478]},{"billed_charge":108.2,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1609812445]},{"billed_charge":169.43,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":102.9,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":51.0,"npi":[]},{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":34.0,"npi":[]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":31.8,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":136.11,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305TC","description":"Level Iv - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.21,"providers":[{"billed_charge":61.0,"npi":[1659574127]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.05,"providers":[{"billed_charge":108.0,"npi":[1659574127]}]}]}]},{"name":"Xray office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.07,"providers":[{"billed_charge":23.76,"npi":[1780563171]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":543.64,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1407948169]}]}]}]},{"name":"DME enteral supplies and formula","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral Feed Supp Pump Per D","allowed_amounts":[{"tin":{"type":"ein","value":"841300129"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":204.9,"providers":[{"billed_charge":558.0,"npi":[1134151699]}]},{"allowed_amount":116.11,"providers":[{"billed_charge":316.2,"npi":[1134151699]}]},{"allowed_amount":88.79,"providers":[{"billed_charge":241.8,"npi":[1134151699]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.24,"providers":[{"billed_charge":587.0,"npi":[1699782722]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":15.72,"providers":[{"billed_charge":20.0,"npi":[1225023088]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140359","description":"Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions)","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.9,"providers":[{"billed_charge":740.8,"npi":[1598314437]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":32.22,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":88.78,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":164.52,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":147.72,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.19,"providers":[{"billed_charge":125.67,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.43,"providers":[{"billed_charge":113.07,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87496","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.12,"providers":[{"billed_charge":306.6,"npi":[1073599478]}]},{"allowed_amount":26.72,"providers":[{"billed_charge":312.57,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9920325","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":120.83,"providers":[{"billed_charge":244.8,"npi":[1740680925]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.42,"providers":[{"billed_charge":274.0,"npi":[1598081325]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":145.41,"providers":[{"billed_charge":243.96,"npi":[1831501717]}]},{"allowed_amount":123.61,"providers":[{"billed_charge":243.96,"npi":[1740680925]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":449.55,"providers":[{"billed_charge":449.55,"npi":[1316469356]}]}]},{"tin":{"type":"ein","value":"811366784"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":449.55,"providers":[{"billed_charge":449.55,"npi":[1588008858]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"461495284"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":51.4,"providers":[{"billed_charge":144.0,"npi":[1316983059]}]},{"allowed_amount":51.58,"providers":[{"billed_charge":144.0,"npi":[1598701773]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":167.36,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831226","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":50.0,"npi":[1417390287]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":12.0,"npi":[1659876399]}]}]}]},{"name":"Urgent care lab non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880QW","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":45.0,"npi":[1659876399]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"711009327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[1407948169]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908LT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.62,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":144.9,"npi":[]},{"billed_charge":158.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":212.48,"npi":[]},{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin Time","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8748159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.2,"providers":[{"billed_charge":263.2,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":258.3,"npi":[]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834UD","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"020581938"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.17,"providers":[{"billed_charge":85.17,"npi":[1336926070]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":120.83,"providers":[{"billed_charge":265.12,"npi":[1073812053]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":94.32,"providers":[{"billed_charge":179.18,"npi":[1114910296,1316696966]}]},{"allowed_amount":80.18,"providers":[{"billed_charge":179.18,"npi":[1740680925]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":193.09,"providers":[{"billed_charge":311.0,"npi":[1891712980]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"262072378"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.09,"providers":[{"billed_charge":10.0,"npi":[1992768824]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":22.0,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"454298417"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":223.95,"providers":[{"billed_charge":575.0,"npi":[1477093714]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":155.27,"providers":[{"billed_charge":283.0,"npi":[1093856247]}]}]}]},{"name":"DME ostomy supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4425","description":"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":53.0,"providers":[{"billed_charge":222.7,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":59.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":53.0,"npi":[1073599478]},{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":61.52,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":389.03,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":93.6,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":73.62,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":254.45,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Cardiovascular testing office professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":23.51,"providers":[{"billed_charge":34.0,"npi":[1770554859]}]}]}]},{"name":"Home health services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9328","description":"Home infusion therapy, implanted pump pain management infusion","allowed_amounts":[{"tin":{"type":"ein","value":"640913966"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1008.0,"providers":[{"billed_charge":3360.0,"npi":[1336243393]}]},{"allowed_amount":612.0,"providers":[{"billed_charge":2040.0,"npi":[1336243393]}]},{"allowed_amount":648.0,"providers":[{"billed_charge":2160.0,"npi":[1336243393]}]},{"allowed_amount":1080.0,"providers":[{"billed_charge":3600.0,"npi":[1336243393]}]},{"allowed_amount":468.0,"providers":[{"billed_charge":1560.0,"npi":[1336243393]}]},{"allowed_amount":504.0,"providers":[{"billed_charge":1680.0,"npi":[1336243393]}]},{"allowed_amount":1116.0,"providers":[{"billed_charge":3720.0,"npi":[1336243393]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":57.16,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.9,"providers":[{"billed_charge":82.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"811366784"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":562.19,"providers":[{"billed_charge":562.19,"npi":[1295787323]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":48.3,"npi":[]}]},{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"810520405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.92,"providers":[{"billed_charge":40.0,"npi":[1700938040]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"810531276"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":55.0,"npi":[1346395944]},{"billed_charge":60.0,"npi":[1346395944]}]}]},{"tin":{"type":"ein","value":"262683180"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":48.76,"providers":[{"billed_charge":50.0,"npi":[1437211836]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8762559","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":142.8,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9923324","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":261.91,"providers":[{"billed_charge":268.46,"npi":[1710196290]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.62,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":34.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":131.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.3,"providers":[{"billed_charge":114.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.63,"providers":[{"billed_charge":40.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]},{"allowed_amount":13.63,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.99,"providers":[{"billed_charge":110.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":129.78,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":133.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":198.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511XU","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"461535164"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.92,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]},{"allowed_amount":28.21,"providers":[{"billed_charge":37.0,"npi":[1770973646]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125559","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":170.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8126059","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":75.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"870281028"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.96,"providers":[{"billed_charge":198.0,"npi":[1194377176]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":374.91,"providers":[{"billed_charge":417.7,"npi":[1659995942]}]}]}]},{"name":"Office visit for eyes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":481.65,"providers":[{"billed_charge":507.0,"npi":[1386080968]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"264283460"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":77.0,"npi":[1336868868]}]},{"allowed_amount":61.94,"providers":[{"billed_charge":154.0,"npi":[1336868868]}]},{"allowed_amount":36.13,"providers":[{"billed_charge":77.0,"npi":[1336868868]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":119.9,"npi":[1073599478]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":53.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.53,"providers":[{"billed_charge":2.53,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.5,"providers":[{"billed_charge":2.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.5,"providers":[{"billed_charge":2.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]},{"billed_charge":106.6,"npi":[]},{"billed_charge":60.0,"npi":[1073599478]}]},{"allowed_amount":9.02,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.03,"providers":[{"billed_charge":126.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]},{"billed_charge":79.67,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":2988.1,"npi":[1063011898]}]}]}]},{"name":"Surgical pathology IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8830726","description":"Level V - Surgical Pathology, Gross & Microscopic Exam","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":241.48,"providers":[{"billed_charge":247.52,"npi":[1053514513]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":78.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":101.73,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":38.85,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":250.0,"npi":[1538144910]}]}]}]},{"name":"DME tens unit rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0730RR","description":"Tens Four Lead","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":20.65,"providers":[{"billed_charge":369.0,"npi":[1770511552]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":184.8,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":196.24,"providers":[{"billed_charge":392.48,"npi":[1740589639]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"452215107"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":186.42,"npi":[1801226543]}]}]},{"tin":{"type":"ein","value":"814221217"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":3998.4,"npi":[1134697196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":94.5,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":169.43,"npi":[1609812445]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 60 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":613.7,"providers":[{"billed_charge":646.0,"npi":[1962411231]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.15,"providers":[{"billed_charge":37.0,"npi":[1083249577]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, Routine W/At Least 12 Leads; W/Interpretation & Report","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":237.5,"providers":[{"billed_charge":250.0,"npi":[1063483436]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.3,"providers":[{"billed_charge":724.0,"npi":[1346615267]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"593271823"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.0,"providers":[{"billed_charge":258.9,"npi":[1295827780]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.2,"providers":[{"billed_charge":28.0,"npi":[1528039484]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":337.5,"providers":[{"billed_charge":375.0,"npi":[1528039484]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88341TC","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"352037910"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.05,"providers":[{"billed_charge":108.0,"npi":[1659574127]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":225.99,"providers":[{"billed_charge":225.99,"npi":[]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":37.94,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":63.43,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4557NU","description":"Lead Wires, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11.7,"providers":[{"billed_charge":39.0,"npi":[1770511552]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"042807148"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":218.03,"providers":[{"billed_charge":343.0,"npi":[1306341185,1508857012,1568968154,1861476947,1891180535]},{"billed_charge":512.0,"npi":[1861476947]}]}]}]},{"name":"Infertility endorsement lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":182.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":45.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.65,"providers":[{"billed_charge":90.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":150.82,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86431","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.23,"providers":[{"billed_charge":47.01,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"930798039"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":388.0,"npi":[1912640897]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":129.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86850","description":"Antibody Screen, Rbc, Each Serum Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.53,"providers":[{"billed_charge":46.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":47.25,"npi":[1073599478]},{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7683026","description":"Echography, Transvaginal","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.83,"providers":[{"billed_charge":113.0,"npi":[1487729281]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97153","description":"Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or QHC professional, face-to-face with one patient, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"271402749"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":63.06,"providers":[{"billed_charge":165.0,"npi":[1689068181]}]},{"allowed_amount":75.67,"providers":[{"billed_charge":198.0,"npi":[1689068181]}]},{"allowed_amount":138.73,"providers":[{"billed_charge":363.0,"npi":[1689068181]}]},{"allowed_amount":37.84,"providers":[{"billed_charge":99.0,"npi":[1689068181]}]},{"allowed_amount":151.34,"providers":[{"billed_charge":396.0,"npi":[1689068181]}]},{"allowed_amount":100.9,"providers":[{"billed_charge":264.0,"npi":[1689068181]}]},{"allowed_amount":176.57,"providers":[{"billed_charge":462.0,"npi":[1689068181]}]},{"allowed_amount":189.18,"providers":[{"billed_charge":495.0,"npi":[1689068181]}]},{"allowed_amount":201.79,"providers":[{"billed_charge":528.0,"npi":[1689068181]}]},{"allowed_amount":239.63,"providers":[{"billed_charge":627.0,"npi":[1689068181]}]},{"allowed_amount":12.61,"providers":[{"billed_charge":33.0,"npi":[1689068181]}]},{"allowed_amount":163.96,"providers":[{"billed_charge":429.0,"npi":[1689068181]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97155HO","description":"Adaptive behavior treatment w/ protocol mod, administered by physician or QHC professional, may incl simultaneous direction of tech, face-to-face with 1 patient, each 15 mins","allowed_amounts":[{"tin":{"type":"ein","value":"814138294"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":288.0,"providers":[{"billed_charge":500.0,"npi":[1619368446]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":60.0,"npi":[1184794182]}]}]},{"tin":{"type":"ein","value":"530943610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.21,"providers":[{"billed_charge":75.0,"npi":[1417259672]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"530943610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.32,"providers":[{"billed_charge":120.0,"npi":[1417259672]}]}]},{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.0,"providers":[{"billed_charge":45.0,"npi":[1184794182]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"202906366"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":798.0,"npi":[1184607285]}]},{"allowed_amount":364.0,"providers":[{"billed_charge":931.0,"npi":[1184607285]}]}]},{"tin":{"type":"ein","value":"202906366"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":931.0,"npi":[1568178762]}]}]},{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1427458231]}]},{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1043531999,1063450120]}]}]},{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1174652473]}]}]},{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":260.0,"providers":[{"billed_charge":1245.0,"npi":[1144429994]}]},{"allowed_amount":312.0,"providers":[{"billed_charge":1494.0,"npi":[1144429994,1255502423,1871955435]}]}]}]},{"name":"Anesthesia/Sedation ASC Medical colonoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":1494.0,"npi":[1144429994,1255502423]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":258.0,"npi":[1386746998]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16.46,"providers":[{"billed_charge":27.0,"npi":[1497700975,1770539991]}]}]}]},{"name":"Chemical office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":250.0,"npi":[1134502602,1144878810,1770835506]}]}]}]},{"name":"Chemical professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":294.38,"npi":[1588310544]}]}]}]},{"name":"Chiro office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"930795159"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":98.96,"providers":[{"billed_charge":100.0,"npi":[1790810844]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1932184322]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME compression stockings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6530NU","description":"Compression stocking BK18-30","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":60.0,"providers":[{"billed_charge":60.0,"npi":[1891728697]}]},{"allowed_amount":120.0,"providers":[{"billed_charge":120.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.06,"providers":[{"billed_charge":143.26,"npi":[1609858729]},{"billed_charge":148.99,"npi":[1609858729]}]},{"allowed_amount":104.1,"providers":[{"billed_charge":429.87,"npi":[1609858729]}]},{"allowed_amount":108.24,"providers":[{"billed_charge":595.96,"npi":[1609858729]}]},{"allowed_amount":81.18,"providers":[{"billed_charge":429.78,"npi":[1609858729]},{"billed_charge":443.52,"npi":[1609858729]},{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":63.43,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":37.19,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4352KX","description":"Coude Tip Urinary Catheter","allowed_amounts":[{"tin":{"type":"ein","value":"134211220"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1371.6,"providers":[{"billed_charge":1737.0,"npi":[1639160708]}]},{"allowed_amount":1400.4,"providers":[{"billed_charge":1737.0,"npi":[1639160708]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":32.34,"npi":[]},{"billed_charge":53.01,"npi":[]},{"billed_charge":66.59,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]},{"billed_charge":14.22,"npi":[]},{"billed_charge":29.28,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.36,"npi":[]},{"billed_charge":16.59,"npi":[]},{"billed_charge":13.29,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0483","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.42,"providers":[{"billed_charge":926.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.19,"providers":[{"billed_charge":499.0,"npi":[1497933162]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9586126","description":"Emg, Needle; 2 Extremities W/Wo Related Paraspinal Areas","allowed_amounts":[{"tin":{"type":"ein","value":"273815236"},"service_code":["24","22"],"billing_class":"professional","payments":[{"allowed_amount":158.12,"providers":[{"billed_charge":4500.0,"npi":[1578622890]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1286.0,"npi":[1013955798,1285861989,1548849656,1629025895,1831725894]},{"billed_charge":1415.0,"npi":[1053010876,1144942277,1285861989,1629025895,1831725894]}]}]},{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":906.0,"npi":[1255724274]},{"billed_charge":1403.0,"npi":[1912404393]}]},{"allowed_amount":1174.5,"providers":[{"billed_charge":1305.0,"npi":[1477058055]}]}]},{"tin":{"type":"ein","value":"930623390"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1145.0,"npi":[1265990139,1336778521,1821737875]},{"billed_charge":862.0,"npi":[1821737875]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":332.54,"providers":[{"billed_charge":430.0,"npi":[1104867373,1275193625,1487668893]}]},{"allowed_amount":387.0,"providers":[{"billed_charge":430.0,"npi":[1265446678]}]}]},{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":895.0,"npi":[1144795709,1972530970]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81519","description":"Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","allowed_amounts":[{"tin":{"type":"ein","value":"770552594"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3873.0,"providers":[{"billed_charge":4620.0,"npi":[1215003603]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81546","description":"Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm reported as a categorical result (eg, benign or suspicious)","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3600.0,"providers":[{"billed_charge":6400.0,"npi":[1134438427]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.0,"providers":[{"billed_charge":140.0,"npi":[]}]},{"allowed_amount":150.0,"providers":[{"billed_charge":160.0,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":626.0,"npi":[1578008397]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1144937442,1285324756,1366930463,1609395102,1760299986,1952056376,1962689695]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":317.18,"npi":[1316983158]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":218.34,"npi":[]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":111.0,"npi":[1073599478]},{"billed_charge":118.75,"npi":[1073599478]},{"billed_charge":131.65,"npi":[1073599478]},{"billed_charge":256.5,"npi":[1073599478]},{"billed_charge":280.2,"npi":[1073599478]},{"billed_charge":166.2,"npi":[1073599478]},{"billed_charge":200.55,"npi":[1073599478]},{"billed_charge":247.05,"npi":[]},{"billed_charge":254.4,"npi":[1073599478]}]},{"allowed_amount":81.07,"providers":[{"billed_charge":218.34,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.58,"providers":[{"billed_charge":187.83,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":177.9,"npi":[1891731626]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":57.02,"npi":[]}]},{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":43.65,"npi":[1073599478]},{"billed_charge":51.0,"npi":[1073599478]},{"billed_charge":111.48,"npi":[1073599478]}]},{"allowed_amount":14.73,"providers":[{"billed_charge":102.9,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":31.0,"npi":[1073590683,1144937442,1285324756,1366930463,1376510008,1386002038,1578061883,1609395102,1760299986,1891492773,1962689695]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":41.96,"npi":[1538105366]},{"billed_charge":54.12,"npi":[1538105366]},{"billed_charge":76.92,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":49.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":3.46,"providers":[{"billed_charge":3.46,"npi":[]}]},{"allowed_amount":3.66,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.18,"providers":[{"billed_charge":66.46,"npi":[1073599478]}]},{"allowed_amount":4.75,"providers":[{"billed_charge":70.89,"npi":[1073599478]},{"billed_charge":35.78,"npi":[1073599478]},{"billed_charge":39.21,"npi":[1073599478]},{"billed_charge":23.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":151.0,"npi":[]}]},{"allowed_amount":20.4,"providers":[{"billed_charge":59.45,"npi":[1073599478]},{"billed_charge":168.33,"npi":[]},{"billed_charge":187.95,"npi":[1073599478]}]},{"allowed_amount":22.23,"providers":[{"billed_charge":151.0,"npi":[1073599478]},{"billed_charge":59.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1073590683,1144937442,1285324756,1366930463,1376510008,1386002038,1578061883,1609395102,1629727219,1689730616,1760299986,1891492773,1952056376,1962689695]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":192.73,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":185.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.9,"providers":[{"billed_charge":270.92,"npi":[1073599478]}]},{"allowed_amount":25.26,"providers":[{"billed_charge":277.09,"npi":[]}]},{"allowed_amount":25.62,"providers":[{"billed_charge":216.27,"npi":[1073599478]}]},{"allowed_amount":8.54,"providers":[{"billed_charge":50.35,"npi":[1073599478]},{"billed_charge":94.3,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":88.26,"npi":[1538144910]}]},{"allowed_amount":17.08,"providers":[{"billed_charge":163.5,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.85,"providers":[{"billed_charge":83.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.52,"providers":[{"billed_charge":129.77,"npi":[1073599478]}]},{"allowed_amount":16.78,"providers":[{"billed_charge":129.77,"npi":[]}]},{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]},{"billed_charge":131.27,"npi":[1073599478]},{"billed_charge":123.9,"npi":[1073599478]},{"billed_charge":48.35,"npi":[1073599478]},{"billed_charge":138.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":45.3,"npi":[1538144910]},{"billed_charge":86.68,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":15.0,"npi":[1962689695]},{"billed_charge":20.0,"npi":[1144937442,1285324756,1366930463,1386002038,1609395102,1760299986,1891492773,1962689695]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":35.0,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":73.52,"npi":[]},{"billed_charge":77.7,"npi":[]},{"billed_charge":86.25,"npi":[1073599478]}]},{"allowed_amount":9.71,"providers":[{"billed_charge":74.0,"npi":[1073599478]}]},{"allowed_amount":10.68,"providers":[{"billed_charge":69.3,"npi":[]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":77.44,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":89.2,"npi":[1316983158,1790721538,1891731626]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.98,"providers":[{"billed_charge":35.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":124.95,"npi":[1538144910]}]},{"allowed_amount":59.6,"providers":[{"billed_charge":1162.07,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.82,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]},{"allowed_amount":17.64,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.5,"providers":[{"billed_charge":456.75,"npi":[]}]},{"allowed_amount":34.54,"providers":[{"billed_charge":456.75,"npi":[1073599478]}]},{"allowed_amount":11.75,"providers":[{"billed_charge":110.25,"npi":[]},{"billed_charge":207.9,"npi":[]}]},{"allowed_amount":11.92,"providers":[{"billed_charge":207.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.25,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]},{"allowed_amount":20.46,"providers":[{"billed_charge":25.0,"npi":[1811379001]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]},{"allowed_amount":3.66,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.39,"providers":[{"billed_charge":44.0,"npi":[1578061883,1629727219,1689730616,1760299986,1891492773,1952056376]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]},{"billed_charge":100.8,"npi":[1073599478]},{"billed_charge":50.46,"npi":[1073599478]},{"billed_charge":139.26,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":175.35,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":64.1,"npi":[1073599478]},{"billed_charge":64.21,"npi":[1073599478]},{"billed_charge":41.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.46,"providers":[{"billed_charge":3.46,"npi":[]}]},{"allowed_amount":3.66,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]},{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":36.75,"npi":[1538144910]},{"billed_charge":184.59,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.78,"providers":[{"billed_charge":204.11,"npi":[]}]},{"allowed_amount":22.1,"providers":[{"billed_charge":23.81,"npi":[1073599478]},{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":63.3,"npi":[1073599478]},{"billed_charge":61.68,"npi":[1073599478]},{"billed_charge":81.82,"npi":[1073599478]},{"billed_charge":208.95,"npi":[1073599478]}]},{"allowed_amount":25.47,"providers":[{"billed_charge":204.11,"npi":[1073599478]}]},{"allowed_amount":28.02,"providers":[{"billed_charge":208.95,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":48.0,"npi":[1962689695]},{"billed_charge":49.0,"npi":[1073590683,1144937442,1285324756,1366930463,1386002038,1578061883,1609395102,1629727219,1689730616,1760299986,1891492773,1952056376]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":169.0,"npi":[1538144910]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":37.25,"npi":[1538144910]},{"billed_charge":187.11,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":264.83,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1073590683,1144937442,1285324756,1366930463,1376510008,1386002038,1578061883,1609395102,1629727219,1689730616,1760299986,1891492773,1952056376,1962689695]},{"billed_charge":47.0,"npi":[1962689695]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":206.89,"npi":[1073599478]}]},{"allowed_amount":22.09,"providers":[{"billed_charge":206.89,"npi":[]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":56.5,"npi":[1073599478]},{"billed_charge":31.93,"npi":[1073599478]},{"billed_charge":178.14,"npi":[]},{"billed_charge":206.85,"npi":[1073599478]},{"billed_charge":82.93,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":60.9,"npi":[1073599478]},{"billed_charge":62.52,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]}]},{"allowed_amount":28.39,"providers":[{"billed_charge":189.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.46,"providers":[{"billed_charge":3.46,"npi":[]}]},{"allowed_amount":3.66,"providers":[{"billed_charge":3.66,"npi":[1073599478]}]},{"allowed_amount":4.76,"providers":[{"billed_charge":43.05,"npi":[1073599478]},{"billed_charge":13.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84478","description":"Triglycerides","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.29,"providers":[{"billed_charge":43.05,"npi":[1073599478]},{"billed_charge":47.54,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":250.48,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.0,"npi":[]}]},{"allowed_amount":15.47,"providers":[{"billed_charge":241.9,"npi":[1073599478]},{"billed_charge":205.0,"npi":[1073599478]},{"billed_charge":245.7,"npi":[1073599478]}]},{"allowed_amount":16.94,"providers":[{"billed_charge":245.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1073590683,1144937442,1285324756,1366930463,1376510008,1386002038,1578061883,1609395102,1689730616,1760299986,1891492773,1952056376,1962689695]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.44,"providers":[{"billed_charge":3.44,"npi":[]}]},{"allowed_amount":3.63,"providers":[{"billed_charge":3.68,"npi":[1073599478]},{"billed_charge":3.66,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":22.0,"npi":[1538144910]},{"billed_charge":43.05,"npi":[1437135886]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.1,"providers":[{"billed_charge":37.0,"npi":[]}]},{"allowed_amount":4.52,"providers":[{"billed_charge":37.0,"npi":[1073599478]}]},{"allowed_amount":4.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":95.55,"npi":[1073599478]},{"billed_charge":46.65,"npi":[1073599478]}]},{"allowed_amount":11.39,"providers":[{"billed_charge":91.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[1073599478]},{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":44.28,"npi":[1073599478]}]},{"allowed_amount":7.77,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":8.55,"providers":[{"billed_charge":32.55,"npi":[]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[1295726032]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":22.0,"npi":[1538144910]},{"billed_charge":32.55,"npi":[1538144910]},{"billed_charge":39.9,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":30.26,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":23.0,"npi":[1144937442,1578061883,1629727219,1760299986,1891492773]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":52.05,"npi":[1316983158,1891731626]},{"billed_charge":54.65,"npi":[1790721538,1891731626]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1437135886,1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]},{"billed_charge":20.63,"npi":[1073599478]}]},{"allowed_amount":2.44,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":76.8,"providers":[{"billed_charge":548.0,"npi":[]}]},{"allowed_amount":211.2,"providers":[{"billed_charge":1646.36,"npi":[]}]},{"allowed_amount":48.0,"providers":[{"billed_charge":412.36,"npi":[]}]},{"allowed_amount":56.76,"providers":[{"billed_charge":466.2,"npi":[]}]},{"allowed_amount":105.6,"providers":[{"billed_charge":293.92,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1437135886,1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.69,"providers":[{"billed_charge":71.4,"npi":[]}]},{"allowed_amount":4.76,"providers":[{"billed_charge":44.55,"npi":[1073599478]},{"billed_charge":71.4,"npi":[1073599478]},{"billed_charge":49.86,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":157.26,"npi":[1073599478]},{"billed_charge":161.06,"npi":[1073599478]},{"billed_charge":102.0,"npi":[1073599478]}]},{"allowed_amount":24.0,"providers":[{"billed_charge":95.65,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":463.16,"npi":[1538144910]},{"billed_charge":158.96,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86225","description":"Deoxyribonucleic Acid (Dna) Antibody; Native/Double Stranded","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.46,"providers":[{"billed_charge":97.56,"npi":[]}]},{"allowed_amount":12.65,"providers":[{"billed_charge":92.17,"npi":[1073599478]},{"billed_charge":90.0,"npi":[1073599478]},{"billed_charge":112.62,"npi":[1073599478]}]},{"allowed_amount":13.74,"providers":[{"billed_charge":59.4,"npi":[1073599478]},{"billed_charge":97.56,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":96.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":136.11,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":117.19,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.65,"providers":[{"billed_charge":27.7,"npi":[1073599478]},{"billed_charge":115.58,"npi":[]}]},{"allowed_amount":15.91,"providers":[{"billed_charge":102.0,"npi":[1073599478]}]},{"allowed_amount":14.43,"providers":[{"billed_charge":102.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[]},{"billed_charge":23.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]},{"billed_charge":58.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.84,"providers":[{"billed_charge":88.2,"npi":[]}]},{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[1073599478]},{"billed_charge":94.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]},{"billed_charge":105.27,"npi":[1689639544]}]},{"allowed_amount":104.58,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":34.86,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.74,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.15,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":125.07,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":56.19,"npi":[]},{"billed_charge":138.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":36.2,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":111.37,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":125.07,"npi":[]},{"billed_charge":74.25,"npi":[]},{"billed_charge":111.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.81,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":34.88,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":114.3,"npi":[]}]},{"allowed_amount":27.28,"providers":[{"billed_charge":126.45,"npi":[]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":115.98,"npi":[]}]},{"allowed_amount":26.87,"providers":[{"billed_charge":115.98,"npi":[]},{"billed_charge":71.01,"npi":[]},{"billed_charge":116.55,"npi":[]}]},{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]},{"billed_charge":77.69,"npi":[]},{"billed_charge":115.98,"npi":[]},{"billed_charge":119.32,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":457.34,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.23,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]},{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]},{"billed_charge":105.27,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]},{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.38,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]},{"allowed_amount":30.07,"providers":[{"billed_charge":55.0,"npi":[1811379001]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":101.82,"npi":[]},{"billed_charge":301.35,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":114.35,"npi":[]},{"billed_charge":67.88,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779991","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Quantification, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.2,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]},{"allowed_amount":44.65,"providers":[{"billed_charge":79.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":232.0,"npi":[1073599478]}]},{"allowed_amount":26.72,"providers":[{"billed_charge":232.0,"npi":[]}]},{"allowed_amount":27.12,"providers":[{"billed_charge":243.6,"npi":[1073599478]},{"billed_charge":224.1,"npi":[]},{"billed_charge":306.6,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":243.6,"npi":[1295726032]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1144937442,1285324756,1356331060,1366930463,1386002038,1578061883,1609395102,1629727219,1760299986,1851968838,1891492773]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80081","description":"obstetric panel (HIV, CBC, Hep B antigen, Rubella, syphilis, Antibody screen of RBC; each, blood typing; ABO and RH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":389.03,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82950","description":"Glucose; Post Glucose Dose (Includes Glucose)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.36,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":23.25,"npi":[]},{"billed_charge":34.17,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":73.5,"npi":[]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":24.63,"npi":[1073599478]},{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":23.0,"npi":[1164857520,1700229929]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.83,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"824794684"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1205656592]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]},{"billed_charge":63.1,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":82.81,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.01,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":43.05,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.47,"providers":[{"billed_charge":39.41,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":53.13,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"813989390"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":118.37,"providers":[{"billed_charge":175.0,"npi":[1588895825]}]}]},{"tin":{"type":"ein","value":"882950399"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":123.8,"providers":[{"billed_charge":250.0,"npi":[1245994854]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1073327581,1326883059,1538819347]}]}]},{"tin":{"type":"ein","value":"421703993"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":162.94,"providers":[{"billed_charge":360.0,"npi":[1356933220]},{"billed_charge":385.0,"npi":[1356933220]}]}]},{"tin":{"type":"ein","value":"832675429"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1538819347]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"924018597"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":78.64,"providers":[{"billed_charge":140.0,"npi":[1063837151]}]},{"allowed_amount":121.89,"providers":[{"billed_charge":140.0,"npi":[1063837151]}]}]},{"tin":{"type":"ein","value":"621658528"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":86.79,"providers":[{"billed_charge":170.0,"npi":[1518691286,1699345926]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"813989390"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":78.3,"providers":[{"billed_charge":100.0,"npi":[1588895825]}]}]},{"tin":{"type":"ein","value":"882950399"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":63.25,"providers":[{"billed_charge":130.0,"npi":[1245994854]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083495","description":"Psychotherapy, 45 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"932952612"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":105.32,"providers":[{"billed_charge":350.0,"npi":[1174752224]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"851670657"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":169.37,"providers":[{"billed_charge":250.0,"npi":[1982256731]}]}]},{"tin":{"type":"ein","value":"932952612"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":223.24,"providers":[{"billed_charge":515.0,"npi":[1790208221]}]},{"allowed_amount":157.58,"providers":[{"billed_charge":515.0,"npi":[1174752224]}]}]},{"tin":{"type":"ein","value":"334277425"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":173.27,"providers":[{"billed_charge":275.0,"npi":[1851436976]}]},{"allowed_amount":205.53,"providers":[{"billed_charge":275.0,"npi":[1851436976]}]},{"allowed_amount":223.24,"providers":[{"billed_charge":275.0,"npi":[1851436976]}]}]},{"tin":{"type":"ein","value":"883046532"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":154.74,"providers":[{"billed_charge":175.0,"npi":[1932614302]}]}]},{"tin":{"type":"ein","value":"920972665"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":92.39,"providers":[{"billed_charge":500.0,"npi":[1649636796]}]}]},{"tin":{"type":"ein","value":"884222417"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":173.6,"providers":[{"billed_charge":250.0,"npi":[1699367391]}]}]},{"tin":{"type":"ein","value":"991377791"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":112.35,"providers":[{"billed_charge":175.0,"npi":[1548015324]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837HP","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"274660258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":101.63,"providers":[{"billed_charge":200.0,"npi":[1841367836]}]}]}]},{"name":"Mental professional child IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":602.0,"npi":[1578966362]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","description":"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"270437701"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":119.39,"providers":[{"billed_charge":202.82,"npi":[1659509784]}]}]}]},{"name":"Naturopath office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"901716480"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":143.51,"providers":[{"billed_charge":300.0,"npi":[1780189332]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140559","description":"Molecular pathology, level 6. (eg, Tests 6-10 exons by DNA sequencing, 11-25 exons by mutation scanning or duplication/deletion, or regionally targeted cytogenomic array.)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.0,"providers":[{"billed_charge":155.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]},{"billed_charge":999.0,"npi":[1346479169]}]},{"allowed_amount":612.26,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3900.0,"npi":[1558672279]},{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":580.79,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]},{"allowed_amount":589.5,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]},{"allowed_amount":834.96,"providers":[{"billed_charge":1155.0,"npi":[1730481078]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]},{"allowed_amount":525.0,"providers":[{"billed_charge":525.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.8,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":535.0,"npi":[1073590683,1144937442,1386002038]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":431.74,"providers":[{"billed_charge":571.0,"npi":[1205857737]}]}]},{"tin":{"type":"ein","value":"820200895"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":303.27,"providers":[{"billed_charge":360.0,"npi":[1871540708]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":305.68,"providers":[{"billed_charge":490.0,"npi":[1073961439,1407823701,1447423934]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":270.07,"providers":[{"billed_charge":571.0,"npi":[1538633656]}]},{"allowed_amount":263.68,"providers":[{"billed_charge":571.0,"npi":[1538633656]}]},{"allowed_amount":317.74,"providers":[{"billed_charge":571.0,"npi":[1316031255,1477550572,1982340816]}]},{"allowed_amount":443.02,"providers":[{"billed_charge":538.0,"npi":[1649802232,1770539991]},{"billed_charge":606.0,"npi":[1609210525]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":407.51,"providers":[{"billed_charge":417.7,"npi":[1699035741,1871673772]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1164631461]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.65,"providers":[{"billed_charge":228.0,"npi":[1447415773]}]},{"allowed_amount":121.16,"providers":[{"billed_charge":228.0,"npi":[1508830423]}]},{"allowed_amount":142.54,"providers":[{"billed_charge":228.0,"npi":[1447415773]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1386002038,1609395102]},{"billed_charge":298.0,"npi":[1386002038]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":298.0,"npi":[1144937442]},{"billed_charge":290.0,"npi":[1609395102]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":40.0,"npi":[1114489382]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1033265657,1114261229,1245556026,1295235281,1487619417,1790045045,1871567941]}]}]},{"tin":{"type":"ein","value":"910862542"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":40.0,"npi":[1114261229]}]}]},{"tin":{"type":"ein","value":"471497384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.82,"providers":[{"billed_charge":53.9,"npi":[1790369403]}]}]}]},{"name":"Opioid Medication","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0020HG","description":"Alcohol And/Or Drug Services; methadone administration and/or service (provision of the drug by a licensed program)","allowed_amounts":[{"tin":{"type":"ein","value":"930611783"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.99,"providers":[{"billed_charge":4.99,"npi":[1619990108]}]},{"allowed_amount":89.38,"providers":[{"billed_charge":97.5,"npi":[1619990108]}]},{"allowed_amount":143.0,"providers":[{"billed_charge":156.0,"npi":[1619990108]}]},{"allowed_amount":196.63,"providers":[{"billed_charge":214.5,"npi":[1619990108]}]},{"allowed_amount":9.98,"providers":[{"billed_charge":9.98,"npi":[1619990108]}]},{"allowed_amount":71.5,"providers":[{"billed_charge":78.0,"npi":[1619990108]}]},{"allowed_amount":107.25,"providers":[{"billed_charge":117.0,"npi":[1619990108]}]},{"allowed_amount":17.88,"providers":[{"billed_charge":19.5,"npi":[1619990108]}]},{"allowed_amount":35.75,"providers":[{"billed_charge":39.0,"npi":[1619990108]}]},{"allowed_amount":125.13,"providers":[{"billed_charge":136.5,"npi":[1619990108]}]},{"allowed_amount":160.88,"providers":[{"billed_charge":175.5,"npi":[1619990108]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"811026078"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.6,"providers":[{"billed_charge":146.0,"npi":[1427933423]}]},{"allowed_amount":40.8,"providers":[{"billed_charge":73.0,"npi":[1427933423]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":50.0,"npi":[1851882724]},{"billed_charge":53.75,"npi":[1851882724]}]},{"allowed_amount":81.6,"providers":[{"billed_charge":107.5,"npi":[1851882724]}]}]},{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":44.24,"providers":[{"billed_charge":73.0,"npi":[1316686058,1780365239]}]},{"allowed_amount":52.04,"providers":[{"billed_charge":73.0,"npi":[1316686058,1861951840]}]}]},{"tin":{"type":"ein","value":"951519327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.8,"providers":[{"billed_charge":72.0,"npi":[1679557003]}]}]},{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.6,"providers":[{"billed_charge":136.0,"npi":[1780327106]}]},{"allowed_amount":40.8,"providers":[{"billed_charge":68.0,"npi":[1780327106]}]}]},{"tin":{"type":"ein","value":"833832684"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.74,"providers":[{"billed_charge":130.0,"npi":[1952698987]}]},{"allowed_amount":70.35,"providers":[{"billed_charge":130.0,"npi":[1952698987]}]}]},{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.78,"providers":[{"billed_charge":84.0,"npi":[1508175019]}]},{"allowed_amount":18.14,"providers":[{"billed_charge":84.0,"npi":[1508175019]}]},{"allowed_amount":17.64,"providers":[{"billed_charge":84.0,"npi":[1508175019]}]}]},{"tin":{"type":"ein","value":"911419087"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":61.34,"providers":[{"billed_charge":178.0,"npi":[1821657461]}]},{"allowed_amount":76.46,"providers":[{"billed_charge":178.0,"npi":[1821657461]}]},{"allowed_amount":30.67,"providers":[{"billed_charge":89.0,"npi":[1821657461]}]},{"allowed_amount":76.66,"providers":[{"billed_charge":178.0,"npi":[1083588784,1821657461]}]}]},{"tin":{"type":"ein","value":"383038527"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.14,"providers":[{"billed_charge":42.0,"npi":[1346709342]}]},{"allowed_amount":20.19,"providers":[{"billed_charge":42.0,"npi":[1346709342]}]}]},{"tin":{"type":"ein","value":"651147823"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.91,"providers":[{"billed_charge":90.0,"npi":[1053668103,1588822126,1952736373]}]},{"allowed_amount":14.02,"providers":[{"billed_charge":90.0,"npi":[1053668103,1538193784,1588822126,1669445748]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"651147823"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":90.0,"npi":[1053668103,1538193784,1588822126,1669445748]}]},{"allowed_amount":24.82,"providers":[{"billed_charge":180.0,"npi":[1053668103]}]},{"allowed_amount":10.97,"providers":[{"billed_charge":90.0,"npi":[1588822126]}]},{"allowed_amount":12.41,"providers":[{"billed_charge":90.0,"npi":[1588822126,1952736373]}]}]},{"tin":{"type":"ein","value":"911889011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":93.8,"providers":[{"billed_charge":140.0,"npi":[1568336873]}]},{"allowed_amount":34.9,"providers":[{"billed_charge":70.0,"npi":[1003383555,1962956938]}]},{"allowed_amount":35.8,"providers":[{"billed_charge":70.0,"npi":[1568336873,1962956938]}]},{"allowed_amount":71.6,"providers":[{"billed_charge":140.0,"npi":[1962956938]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.5,"providers":[{"billed_charge":92.5,"npi":[1609104496,1710402516,1851882724]}]},{"allowed_amount":46.25,"providers":[{"billed_charge":46.25,"npi":[1609104496,1851882724]}]},{"allowed_amount":46.9,"providers":[{"billed_charge":50.0,"npi":[1437768306,1710402516,1851882724]},{"billed_charge":53.75,"npi":[1083852776,1851882724]},{"billed_charge":60.0,"npi":[1609104496]},{"billed_charge":62.5,"npi":[1710402516]}]},{"allowed_amount":93.8,"providers":[{"billed_charge":107.5,"npi":[1609104496,1710402516]},{"billed_charge":120.0,"npi":[1609104496]},{"billed_charge":125.0,"npi":[1710402516]},{"billed_charge":100.0,"npi":[1710402516]}]}]},{"tin":{"type":"ein","value":"911419087"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":77.92,"providers":[{"billed_charge":198.0,"npi":[1821657461]}]},{"allowed_amount":38.96,"providers":[{"billed_charge":99.0,"npi":[1083588784,1821657461]}]},{"allowed_amount":77.82,"providers":[{"billed_charge":198.0,"npi":[1821657461]}]},{"allowed_amount":34.9,"providers":[{"billed_charge":99.0,"npi":[1821657461]}]}]},{"tin":{"type":"ein","value":"203507667"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":129.52,"providers":[{"billed_charge":216.0,"npi":[1679897599]}]},{"allowed_amount":167.49,"providers":[{"billed_charge":324.0,"npi":[1679897599]}]},{"allowed_amount":129.71,"providers":[{"billed_charge":222.0,"npi":[1679897599]}]}]},{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":93.8,"providers":[{"billed_charge":158.0,"npi":[1598321101]}]},{"allowed_amount":46.9,"providers":[{"billed_charge":79.0,"npi":[1194604140]}]}]},{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.7,"providers":[{"billed_charge":158.0,"npi":[1508175019]}]},{"allowed_amount":18.29,"providers":[{"billed_charge":79.0,"npi":[1508175019]}]},{"allowed_amount":18.35,"providers":[{"billed_charge":79.0,"npi":[1508175019]}]},{"allowed_amount":36.58,"providers":[{"billed_charge":158.0,"npi":[1508175019]}]},{"allowed_amount":37.52,"providers":[{"billed_charge":158.0,"npi":[1508175019]}]}]},{"tin":{"type":"ein","value":"951519327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":82.0,"npi":[1679557003]}]}]},{"tin":{"type":"ein","value":"383038527"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":23.06,"providers":[{"billed_charge":45.0,"npi":[1346709342]}]},{"allowed_amount":46.12,"providers":[{"billed_charge":90.0,"npi":[1346709342]}]},{"allowed_amount":46.18,"providers":[{"billed_charge":90.0,"npi":[1346709342]}]},{"allowed_amount":48.6,"providers":[{"billed_charge":90.0,"npi":[1346709342]}]}]},{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":66.0,"npi":[1780327106]}]},{"allowed_amount":93.8,"providers":[{"billed_charge":132.0,"npi":[1780327106]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9714059","description":"Manual Therapy Techniques, 1+ Regions, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"464240757"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":112.56,"providers":[{"billed_charge":337.5,"npi":[1184128845]},{"billed_charge":168.75,"npi":[1184128845]}]}]},{"tin":{"type":"ein","value":"205983649"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.32,"providers":[{"billed_charge":142.62,"npi":[1316496151]}]},{"allowed_amount":142.62,"providers":[{"billed_charge":142.62,"npi":[1447849187]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.18,"providers":[{"billed_charge":74.0,"npi":[1508175019]}]},{"allowed_amount":16.84,"providers":[{"billed_charge":74.0,"npi":[1508175019]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":50.0,"npi":[1437768306,1710402516,1851882724]},{"billed_charge":58.75,"npi":[1437768306]},{"billed_charge":60.0,"npi":[1609104496]},{"billed_charge":62.5,"npi":[1710402516]},{"billed_charge":53.75,"npi":[1851882724]}]},{"allowed_amount":75.04,"providers":[{"billed_charge":120.0,"npi":[1609104496]},{"billed_charge":125.0,"npi":[1710402516]},{"billed_charge":100.0,"npi":[1437768306,1710402516,1851882724]},{"billed_charge":92.5,"npi":[1609104496,1710402516,1851882724]},{"billed_charge":107.5,"npi":[1083852776,1609104496,1710402516,1851882724]},{"billed_charge":117.5,"npi":[1437768306,1811218720]}]},{"allowed_amount":112.56,"providers":[{"billed_charge":235.0,"npi":[1811218720]},{"billed_charge":138.75,"npi":[1851882724]},{"billed_charge":150.0,"npi":[1851882724]},{"billed_charge":176.25,"npi":[1811218720]},{"billed_charge":185.0,"npi":[1851882724]}]}]},{"tin":{"type":"ein","value":"911889011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.85,"providers":[{"billed_charge":65.0,"npi":[1003383555,1962956938]}]},{"allowed_amount":33.59,"providers":[{"billed_charge":65.0,"npi":[1568336873]}]},{"allowed_amount":55.7,"providers":[{"billed_charge":130.0,"npi":[1962956938]}]}]},{"tin":{"type":"ein","value":"203507667"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":95.06,"providers":[{"billed_charge":186.0,"npi":[1679897599]}]},{"allowed_amount":95.46,"providers":[{"billed_charge":192.0,"npi":[1679897599]}]}]},{"tin":{"type":"ein","value":"651147823"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":90.0,"npi":[1053668103,1588822126,1952736373]}]},{"allowed_amount":12.91,"providers":[{"billed_charge":90.0,"npi":[1053668103,1538193784,1588822126,1669445748]}]}]},{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":148.0,"npi":[1194604140]}]}]},{"tin":{"type":"ein","value":"923833139"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":61.25,"npi":[1700112794]}]}]},{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":67.0,"npi":[1780327106]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530GP","description":"Therapeutic Activities, Direct Patient Contact, Each 15 Min","allowed_amounts":[{"tin":{"type":"ein","value":"273298502"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.02,"providers":[{"billed_charge":90.0,"npi":[1942030630]}]},{"allowed_amount":71.44,"providers":[{"billed_charge":135.0,"npi":[1134886799,1740008077,1871472647,1942030630,1972249738]}]}]},{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":63.02,"providers":[{"billed_charge":267.0,"npi":[1508175019]}]},{"allowed_amount":63.24,"providers":[{"billed_charge":267.0,"npi":[1508175019]}]},{"allowed_amount":26.04,"providers":[{"billed_charge":89.0,"npi":[1508175019]}]},{"allowed_amount":26.61,"providers":[{"billed_charge":89.0,"npi":[1508175019]}]},{"allowed_amount":36.98,"providers":[{"billed_charge":178.0,"npi":[1508175019]}]}]},{"tin":{"type":"ein","value":"821215752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":168.0,"npi":[1194604140]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":84.0,"npi":[1194604140]}]}]},{"tin":{"type":"ein","value":"911419087"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.22,"providers":[{"billed_charge":107.0,"npi":[1821657461]}]},{"allowed_amount":39.83,"providers":[{"billed_charge":107.0,"npi":[1821657461]}]},{"allowed_amount":85.27,"providers":[{"billed_charge":214.0,"npi":[1083588784,1821657461]}]}]},{"tin":{"type":"ein","value":"911889011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.05,"providers":[{"billed_charge":70.0,"npi":[1568336873,1962956938]}]},{"allowed_amount":74.1,"providers":[{"billed_charge":140.0,"npi":[1568336873,1962956938]}]},{"allowed_amount":39.83,"providers":[{"billed_charge":70.0,"npi":[1003383555,1962956938]}]},{"allowed_amount":79.67,"providers":[{"billed_charge":140.0,"npi":[1962956938]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":70.0,"npi":[1568336873]}]}]},{"tin":{"type":"ein","value":"383038527"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.81,"providers":[{"billed_charge":45.0,"npi":[1346709342]}]},{"allowed_amount":52.4,"providers":[{"billed_charge":90.0,"npi":[1346709342]}]},{"allowed_amount":52.44,"providers":[{"billed_charge":90.0,"npi":[1346709342]}]}]},{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":142.0,"npi":[1780327106]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":71.0,"npi":[1780327106]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.25,"providers":[{"billed_charge":46.25,"npi":[1609104496,1851882724]}]},{"allowed_amount":105.06,"providers":[{"billed_charge":117.5,"npi":[1437768306,1811218720]}]},{"allowed_amount":50.0,"providers":[{"billed_charge":50.0,"npi":[1437768306,1851882724]}]},{"allowed_amount":100.0,"providers":[{"billed_charge":100.0,"npi":[1851882724]}]},{"allowed_amount":52.53,"providers":[{"billed_charge":53.75,"npi":[1083852776]},{"billed_charge":58.75,"npi":[1437768306,1811218720]},{"billed_charge":60.0,"npi":[1609104496]}]},{"allowed_amount":92.5,"providers":[{"billed_charge":92.5,"npi":[1851882724]}]}]},{"tin":{"type":"ein","value":"651147823"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.77,"providers":[{"billed_charge":90.0,"npi":[1053668103,1588822126,1952736373]}]},{"allowed_amount":19.73,"providers":[{"billed_charge":90.0,"npi":[1053668103,1538193784,1588822126,1669445748]}]}]}]},{"name":"Physical therapy office","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0283GP","description":"Electrical Stimulation (Unattended), To One Or More Areas For Indicati","allowed_amounts":[{"tin":{"type":"ein","value":"861003167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6.93,"providers":[{"billed_charge":53.0,"npi":[1508175019]}]},{"allowed_amount":7.09,"providers":[{"billed_charge":53.0,"npi":[1508175019]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":10.0,"npi":[1073599478]},{"billed_charge":20.0,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":20.0,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"824794684"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1205656592,1457173320]}]},{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1205656592]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910,1750368700]},{"billed_charge":12.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1073590683,1285324756,1851968838]}]},{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1073590683,1356331060]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":37.36,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":66.46,"npi":[1073599478]},{"billed_charge":35.78,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":69.3,"npi":[]},{"billed_charge":35.0,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]},{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":81.9,"npi":[1073599478]}]},{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]},{"allowed_amount":10.68,"providers":[{"billed_charge":77.7,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1073590683,1285324756,1851968838]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.25,"providers":[{"billed_charge":840.0,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":44.5,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1073590683,1285324756]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]},{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":195.45,"npi":[]},{"billed_charge":209.31,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1073590683,1285324756]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84550","description":"Uric Acid; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.16,"providers":[{"billed_charge":11.02,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":26.03,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":24.0,"npi":[1073599478]},{"billed_charge":37.86,"npi":[1073599478]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":55.75,"npi":[1073599478]},{"billed_charge":93.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":127.9,"npi":[1073599478]},{"billed_charge":112.35,"npi":[1073599478]},{"billed_charge":62.35,"npi":[1073599478]},{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":52.3,"npi":[1073599478]},{"billed_charge":176.4,"npi":[1073599478]},{"billed_charge":218.11,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":72.14,"npi":[]},{"billed_charge":56.19,"npi":[1073599478]},{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":70.0,"npi":[]},{"billed_charge":125.07,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":125.07,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":41.67,"npi":[]},{"billed_charge":114.34,"npi":[]},{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]},{"billed_charge":131.9,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":41.67,"npi":[]},{"billed_charge":114.34,"npi":[]},{"billed_charge":65.95,"npi":[]},{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":242.61,"providers":[{"billed_charge":560.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.28,"npi":[]},{"billed_charge":86.52,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":125.46,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":50.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]},{"allowed_amount":31.58,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Psychological testing OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96131","description":"Psychological testing evaluation services including interactive feedback to the patient, family member(s) or caregiver(s), when performed; each additional hour","allowed_amounts":[{"tin":{"type":"ein","value":"462761308"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":592.28,"providers":[{"billed_charge":1260.0,"npi":[1609200252]}]},{"allowed_amount":148.07,"providers":[{"billed_charge":315.0,"npi":[1609200252,1659824647]}]},{"allowed_amount":444.21,"providers":[{"billed_charge":945.0,"npi":[1609200252,1659824647]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":25.51,"npi":[1073599478]},{"billed_charge":19.7,"npi":[1073599478]}]}]}]},{"name":"Sleep study OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":149.74,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]},{"allowed_amount":168.31,"providers":[{"billed_charge":1200.0,"npi":[1861655961]}]}]},{"tin":{"type":"ein","value":"203360918"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":200.0,"providers":[{"billed_charge":450.0,"npi":[1518906940]}]}]}]},{"name":"Speech therapy office - head, spinal cord, CVA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92507GN","description":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual","allowed_amounts":[{"tin":{"type":"ein","value":"205232346"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":96.95,"providers":[{"billed_charge":118.41,"npi":[1730595919]}]},{"allowed_amount":71.42,"providers":[{"billed_charge":118.41,"npi":[1730595919]},{"billed_charge":91.26,"npi":[1730595919]}]},{"allowed_amount":56.18,"providers":[{"billed_charge":91.26,"npi":[1730595919]}]}]},{"tin":{"type":"ein","value":"810573761"},"service_code":["03"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":138.0,"npi":[1861618936]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80361","description":"Opiates, 1 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":15.0,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.82,"providers":[{"billed_charge":745.0,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":149.06,"providers":[{"billed_charge":405.0,"npi":[1497933162]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81.08,"providers":[{"billed_charge":140.0,"npi":[1417390287]}]},{"allowed_amount":648.64,"providers":[{"billed_charge":1120.0,"npi":[1790980837]}]},{"allowed_amount":324.32,"providers":[{"billed_charge":560.0,"npi":[1417390287]}]}]},{"tin":{"type":"ein","value":"922959598"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":76.12,"providers":[{"billed_charge":150.0,"npi":[1316216369]}]}]},{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":397.98,"providers":[{"billed_charge":720.0,"npi":[1487635371]}]},{"allowed_amount":132.66,"providers":[{"billed_charge":390.0,"npi":[1861533481]},{"billed_charge":240.0,"npi":[1487635371,1861533481,1922452515]},{"billed_charge":267.0,"npi":[1861533481]}]},{"allowed_amount":265.32,"providers":[{"billed_charge":480.0,"npi":[1922452515]}]},{"allowed_amount":663.3,"providers":[{"billed_charge":1200.0,"npi":[1487635371]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]},{"allowed_amount":161.74,"providers":[{"billed_charge":373.8,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"912006337"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.0,"providers":[{"billed_charge":175.0,"npi":[1578673372]}]},{"allowed_amount":185.25,"providers":[{"billed_charge":350.0,"npi":[1811082993]}]}]},{"tin":{"type":"ein","value":"202879668"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.88,"providers":[{"billed_charge":226.0,"npi":[1457747206,1659301554,1689164832,1871630350]}]},{"allowed_amount":103.76,"providers":[{"billed_charge":452.0,"npi":[1124287198]}]}]},{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.58,"providers":[{"billed_charge":204.0,"npi":[1467433292]}]}]},{"tin":{"type":"ein","value":"813253496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":123.63,"providers":[{"billed_charge":219.2,"npi":[1174620496,1699902726]}]},{"allowed_amount":219.2,"providers":[{"billed_charge":219.2,"npi":[1699902726]}]},{"allowed_amount":102.9,"providers":[{"billed_charge":219.2,"npi":[1174620496]}]},{"allowed_amount":121.48,"providers":[{"billed_charge":219.2,"npi":[1174620496]}]},{"allowed_amount":438.4,"providers":[{"billed_charge":438.4,"npi":[1699902726]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"455412849"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":210.0,"npi":[1154002343,1255352985]}]}]}]},{"name":"Urgent care xray non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7363026","description":"Radiologic Exam, Foot; Complete, 3+ Views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":15.23,"providers":[{"billed_charge":23.49,"npi":[1932661154]}]}]}]},{"name":"Xray IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.51,"providers":[{"billed_charge":34.0,"npi":[1336245943]}]},{"allowed_amount":25.27,"providers":[{"billed_charge":34.0,"npi":[1265875991]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","allowed_amounts":[{"tin":{"type":"ein","value":"530943610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.21,"providers":[{"billed_charge":75.0,"npi":[1417259672]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":51.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.35,"providers":[{"billed_charge":2.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84305","description":"Somatomedin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.57,"providers":[{"billed_charge":332.85,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]},{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.78,"providers":[{"billed_charge":456.32,"npi":[1598314437]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":92.79,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86696","description":"Antibody; Herpes Simplex, Type 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.81,"providers":[{"billed_charge":136.11,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.74,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":390.6,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":142.68,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":69.45,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731QZ","description":"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1639122088]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1154357580,1295722403]}]},{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1497723704]}]}]},{"tin":{"type":"ein","value":"202906366"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":798.0,"npi":[1184607285]}]}]},{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":480.0,"npi":[1942775721]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7126026","description":"Computed tomography, thorax, diagnostic; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":228.53,"providers":[{"billed_charge":502.0,"npi":[1275891137]}]}]}]},{"name":"CT/CTA scan OP professional PA reqd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"760273984"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":89.48,"providers":[{"billed_charge":876.0,"npi":[1275891137]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.0,"providers":[{"billed_charge":350.0,"npi":[1063414258]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98941","description":"Chiropractic manipulative treatment (CMT); spinal, 3-4 regions","allowed_amounts":[{"tin":{"type":"ein","value":"331570818"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.93,"providers":[{"billed_charge":90.0,"npi":[1508687955]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652RR","description":"Pneum Compres W/Cal Pressure","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":371.0,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1528448024]}]}]},{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1411.0,"npi":[1588645683]}]}]},{"tin":{"type":"ein","value":"930623390"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1145.0,"npi":[1356895320]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1368.66,"providers":[{"billed_charge":7299.52,"npi":[1598314437]},{"billed_charge":11852.56,"npi":[1598314437]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]},{"allowed_amount":20.56,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":84.24,"npi":[1073599478]},{"billed_charge":137.26,"npi":[1073599478]},{"billed_charge":132.51,"npi":[]}]},{"allowed_amount":26.89,"providers":[{"billed_charge":132.51,"npi":[]}]},{"allowed_amount":29.27,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Hospital based educational class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98960","description":"Patient self-management education by a nonphysician professional, using a standardized curriculum, face-to-face (with caregiver/family if needed), per 30 minutes; individual","allowed_amounts":[{"tin":{"type":"ein","value":"000000000"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.0,"providers":[{"billed_charge":35.0,"npi":[]}]},{"allowed_amount":7.0,"providers":[{"billed_charge":7.0,"npi":[]}]},{"allowed_amount":19.5,"providers":[{"billed_charge":19.5,"npi":[]}]},{"allowed_amount":150.0,"providers":[{"billed_charge":150.0,"npi":[]}]},{"allowed_amount":80.0,"providers":[{"billed_charge":80.0,"npi":[]}]},{"allowed_amount":85.0,"providers":[{"billed_charge":85.0,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital IP or obs care, per day, for the E/Mt of a pt, which req. medically apt history and/or Ex and high level of medical decision making. Total time, 75 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.57,"providers":[{"billed_charge":602.0,"npi":[1306006135,1578568499]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":40.25,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1558916049]}]},{"allowed_amount":9.34,"providers":[{"billed_charge":15.0,"npi":[1386002038,1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.82,"providers":[{"billed_charge":18.0,"npi":[1457935330]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1437135886,1538144910]},{"billed_charge":20.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":23.0,"npi":[1578504957]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":214.55,"npi":[1073599478]},{"billed_charge":71.53,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":80.23,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1558916049,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81374","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Antigen Equivalent (Eg, B*27), Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.97,"providers":[{"billed_charge":236.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82570","description":"Creatinine; Other Source","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":33.65,"npi":[1073599478]},{"billed_charge":23.69,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1386002038,1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":47.41,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1558916049]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":36.0,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":36.0,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":47.59,"npi":[1073599478]},{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83520","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":207.9,"npi":[]}]},{"allowed_amount":11.92,"providers":[{"billed_charge":207.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.43,"providers":[{"billed_charge":27.0,"npi":[1386002038,1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.52,"providers":[{"billed_charge":29.0,"npi":[1073599478]},{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":32.05,"npi":[1073599478]},{"billed_charge":172.55,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1386002038,1558916049,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":36.75,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1386002038,1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":63.3,"npi":[1073599478]},{"billed_charge":36.75,"npi":[1073599478]},{"billed_charge":208.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1538144910]},{"billed_charge":19.77,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1386002038,1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":109.1,"npi":[1073599478]},{"billed_charge":148.05,"npi":[1073599478]},{"billed_charge":162.05,"npi":[1073599478]},{"billed_charge":14.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":27.72,"npi":[1073599478]},{"billed_charge":205.0,"npi":[1073599478]},{"billed_charge":259.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1386002038,1558916049,1891492773]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84630","description":"Zinc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.49,"providers":[{"billed_charge":95.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]},{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":38.85,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86258","description":"Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":124.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":72.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87328","description":"Crytosporidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":143.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87427","description":"Shiga-like toxin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.05,"providers":[{"billed_charge":96.29,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":140.36,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":247.62,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":285.26,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":42.11,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":241.8,"providers":[{"billed_charge":1200.0,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":110.24,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":233.14,"npi":[]},{"billed_charge":220.5,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":116.57,"npi":[]},{"billed_charge":101.81,"npi":[]},{"billed_charge":110.24,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":220.5,"npi":[]}]}]}]},{"name":"Massage therapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97124","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, inluding effleurage, petrissage and/or tapotement (stroking, compression, percussion)","allowed_amounts":[{"tin":{"type":"ein","value":"540157638"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":180.0,"npi":[1013227990]}]}]},{"tin":{"type":"ein","value":"825077145"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":200.0,"npi":[1013627736,1245877265]},{"billed_charge":240.0,"npi":[1245877265,1548914468]}]},{"allowed_amount":133.44,"providers":[{"billed_charge":300.0,"npi":[1245877265]}]}]},{"tin":{"type":"ein","value":"832167663"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":160.0,"npi":[1417372608]}]},{"allowed_amount":111.2,"providers":[{"billed_charge":200.0,"npi":[1417372608]}]}]},{"tin":{"type":"ein","value":"814912147"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":88.96,"providers":[{"billed_charge":140.0,"npi":[1942023718]}]}]},{"tin":{"type":"ein","value":"454925358"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":177.92,"providers":[{"billed_charge":400.0,"npi":[1699084988]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":54.0,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9085395","description":"Group Psychotherapy (Other Than, Multiple-Family Group)","allowed_amounts":[{"tin":{"type":"ein","value":"822287113"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":31.36,"providers":[{"billed_charge":65.0,"npi":[1609450196]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8120059","description":"Aspa (Aspartoacylase) (Eg, Canavan Disease) Gene Analysis, Common Variants (Eg, E285A, Y231X)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.75,"providers":[{"billed_charge":125.0,"npi":[1558672279]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.56,"providers":[{"billed_charge":3114.0,"npi":[1346479169]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Obesity endorsement lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1144937442,1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"930798039"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":293.0,"npi":[1255322269]}]}]},{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":185.5,"npi":[1912591975]}]}]},{"tin":{"type":"ein","value":"362193608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":241.17,"npi":[1689688137]}]}]},{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":192.85,"providers":[{"billed_charge":400.0,"npi":[1275983843,1649953019]}]}]},{"tin":{"type":"ein","value":"910655392"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":136.72,"providers":[{"billed_charge":290.0,"npi":[1316521446]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.47,"providers":[{"billed_charge":279.0,"npi":[1215058904]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":216.16,"providers":[{"billed_charge":319.0,"npi":[1225445513]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1558916049]},{"billed_charge":418.0,"npi":[1558916049,1891492773]}]}]},{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":254.63,"providers":[{"billed_charge":391.0,"npi":[1699278572]}]}]},{"tin":{"type":"ein","value":"930798039"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":411.0,"npi":[1346402500,1457662967,1649314220,1851584700]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":93.8,"providers":[{"billed_charge":132.0,"npi":[1780327106]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":53.75,"npi":[1609104496]}]}]},{"tin":{"type":"ein","value":"951519327"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":85.0,"npi":[1598274383]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":67.0,"npi":[1780327106]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":53.75,"npi":[1609104496]},{"billed_charge":58.75,"npi":[1811218720]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":113.97,"providers":[{"billed_charge":117.5,"npi":[1811218720]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.84,"providers":[{"billed_charge":18.0,"npi":[1215058904]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":20.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":27.0,"npi":[1932184322]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":111.3,"npi":[1073599478]},{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":82.81,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":191.89,"npi":[1073599478]},{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":96.6,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86787","description":"Antibody; Varicella-Zoster","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":55.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":102.75,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":45.12,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9940695","description":"Smoking and Tobacco Use Cessation Counseling Visit; Intermediate, Greater than 3 Minutes up to 10 Minutes","allowed_amounts":[{"tin":{"type":"ein","value":"834464233"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":28.81,"providers":[{"billed_charge":30.0,"npi":[1144878810,1770835506]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.35,"providers":[{"billed_charge":124.0,"npi":[1497933162]}]}]},{"tin":{"type":"ein","value":"452215107"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":186.42,"npi":[1801226543]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8831226","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":50.0,"npi":[1417390287,1497167720,1790980837]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"455412849"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":210.0,"npi":[1518935618]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"930593725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.77,"providers":[{"billed_charge":39.0,"npi":[1497787485]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7683026","description":"Echography, Transvaginal","allowed_amounts":[{"tin":{"type":"ein","value":"861143198"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.83,"providers":[{"billed_charge":113.0,"npi":[1487729281]}]}]}]},{"name":"Cardiovascular testing IP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9330626","description":"Echocardiography, Transthoracic, Real-Time with Image Doc (2d), Inc M-mode recording, when performed, complete, w/Spectral and Color Flow Doppler Echocardiography","allowed_amounts":[{"tin":{"type":"ein","value":"930223960"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":139.36,"providers":[{"billed_charge":238.0,"npi":[1447665971]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93243","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8122059","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8132959","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":429.78,"npi":[1609858729]},{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"Genetic testing professional OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8124359","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.0,"providers":[{"billed_charge":500.0,"npi":[1558672279]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":39.5,"npi":[1073599478]},{"billed_charge":51.45,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":100.75,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":67.99,"npi":[1609812445]},{"billed_charge":100.75,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82150","description":"Amylase","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":59.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1588274864]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":47.52,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":123.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":20.0,"npi":[1588274864]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.31,"providers":[{"billed_charge":84.95,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":77.7,"npi":[1073599478]},{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.63,"providers":[{"billed_charge":58.81,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1588274864]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":175.35,"npi":[1073599478]},{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":23.09,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.67,"providers":[{"billed_charge":3.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.48,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":109.52,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":91.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]},{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82672","description":"Estrogens; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.94,"providers":[{"billed_charge":70.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":70.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":81.82,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":294.38,"npi":[1669769444]}]}]},{"tin":{"type":"ein","value":"861826692"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.19,"providers":[{"billed_charge":294.38,"npi":[1699061556]}]}]}]},{"name":"Mental professional child OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083795","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"821642452"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":132.25,"providers":[{"billed_charge":150.0,"npi":[1841518719]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":178.39,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":178.35,"npi":[]}]},{"allowed_amount":63.66,"providers":[{"billed_charge":356.7,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.2,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":44.53,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":100.58,"npi":[1295726032]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":21.19,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":27.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.88,"providers":[{"billed_charge":37.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":34.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":47.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Urgent care xray non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104626","description":"Radiologic examination, chest; 2 views","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":19.66,"providers":[{"billed_charge":29.09,"npi":[1114962180]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":28.3,"npi":[1083077408]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":424.2,"npi":[1427582519,1760182836]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911753075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":776.7,"providers":[{"billed_charge":863.0,"npi":[1508343732]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":47.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.68,"providers":[{"billed_charge":3.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82507","description":"Citrate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.17,"providers":[{"billed_charge":171.38,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; Quantitative, Blood (Except Reagent Strip)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.59,"providers":[{"billed_charge":3.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":3.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84295","description":"Sodium; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.68,"providers":[{"billed_charge":3.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":148.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":37.0,"npi":[1578504957]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"611730890"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":37.0,"npi":[1578504957]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7045026","description":"CT Scan, Head or Brain; Without Contrast Material","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":81.07,"providers":[{"billed_charge":125.0,"npi":[1669422416]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1669422416]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":230.49,"npi":[]}]}]}]},{"name":"Immunization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization Administration; 1 Single/Combination Vaccine/Toxoid","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.51,"providers":[{"billed_charge":50.0,"npi":[1174575716]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":38.22,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":105.79,"npi":[1366479099]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]},{"allowed_amount":8.91,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.07,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.3,"providers":[{"billed_charge":106.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":81.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":15.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.72,"providers":[{"billed_charge":141.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.96,"providers":[{"billed_charge":88.2,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.87,"providers":[{"billed_charge":40.95,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833GT","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":135.34,"providers":[{"billed_charge":176.92,"npi":[1790398238]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836GT","description":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":171.52,"providers":[{"billed_charge":257.18,"npi":[1790398238]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":20.6,"npi":[1538105366]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.04,"providers":[{"billed_charge":73.0,"npi":[1508544073]}]},{"allowed_amount":104.08,"providers":[{"billed_charge":146.0,"npi":[1508544073]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.74,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.62,"providers":[{"billed_charge":48.3,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.62,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.73,"providers":[{"billed_charge":102.9,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.68,"providers":[{"billed_charge":69.3,"npi":[1538144910]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86317","description":"Immunoassay, Infectious Agent Antibody, Quantitative, Not Otherwise Specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.49,"providers":[{"billed_charge":96.6,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[]},{"billed_charge":75.6,"npi":[]}]},{"allowed_amount":7.32,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":174.85,"providers":[{"billed_charge":273.0,"npi":[1285975334]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":117.04,"providers":[{"billed_charge":222.0,"npi":[1760745475]}]},{"allowed_amount":114.75,"providers":[{"billed_charge":223.0,"npi":[1639490576]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"942854057"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":147.64,"providers":[{"billed_charge":313.0,"npi":[1568864841,1811671449]}]},{"allowed_amount":173.69,"providers":[{"billed_charge":313.0,"npi":[1285975334]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.25,"providers":[{"billed_charge":3500.0,"npi":[1558672279]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7417726","description":"Computed tomography, abdomen and pelvis; with contrast material(s)","allowed_amounts":[{"tin":{"type":"ein","value":"843261579"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":173.53,"providers":[{"billed_charge":345.0,"npi":[1578856449]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8762559","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":142.8,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99309","description":"Subsequent nursing FAC, per day, for the E/M of pt, req. a medically apt history and/or Ex and moderate level of medical decision making. Total time of the encounter, 30 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"391139101"},"service_code":["56"],"billing_class":"professional","payments":[{"allowed_amount":99.82,"providers":[{"billed_charge":306.0,"npi":[1013203652]}]},{"allowed_amount":102.89,"providers":[{"billed_charge":306.0,"npi":[1013203652]}]},{"allowed_amount":103.67,"providers":[{"billed_charge":306.0,"npi":[1013203652]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":10.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":10.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85730","description":"Thromboplastin Time, Partial (Ptt); Plasma/Whole Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.52,"providers":[{"billed_charge":65.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":115.98,"npi":[]},{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":116.03,"npi":[]},{"billed_charge":116.57,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":232.06,"npi":[]},{"billed_charge":233.14,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":51.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":35.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Contraceptive lab and radiology services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"ER visit professional HCFA ancillary services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1558859900]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1831725894]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]},{"billed_charge":89.81,"npi":[]},{"billed_charge":154.0,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":230.49,"npi":[]},{"billed_charge":355.95,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.3,"providers":[{"billed_charge":74.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.25,"providers":[{"billed_charge":9.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82565","description":"Creatinine; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.71,"providers":[{"billed_charge":9.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":173.11,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":94.58,"npi":[1073599478]},{"billed_charge":89.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":176.01,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":52.94,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83013","description":"H. Pylori; Analysis For Urease Activity, Non-Radioactive Isotope","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.0,"providers":[{"billed_charge":340.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":42.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]},{"billed_charge":155.48,"npi":[1073599478]},{"billed_charge":44.7,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":9.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84466","description":"Transferrin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":61.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":9.61,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":110.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":108.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":127.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":218.11,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":111.37,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.6,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":112.35,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83735","description":"Magnesium","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.16,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.31,"providers":[{"billed_charge":1550.0,"npi":[1346479169]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]},{"billed_charge":44.53,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":47.52,"npi":[1073599478]},{"billed_charge":107.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":37.9,"npi":[1073599478]},{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":135.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86901","description":"Blood Typing; Rh (D)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":125.6,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.87,"providers":[{"billed_charge":186.9,"npi":[1073599478]}]},{"allowed_amount":161.74,"providers":[{"billed_charge":373.8,"npi":[1073599478]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1558843326]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4556NU","description":"Electrodes, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":475.2,"providers":[{"billed_charge":1584.0,"npi":[1770511552]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":31.0,"npi":[1770272148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.23,"providers":[{"billed_charge":51.0,"npi":[1770272148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1770272148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.86,"providers":[{"billed_charge":48.0,"npi":[1770272148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.47,"providers":[{"billed_charge":49.0,"npi":[1770272148]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85613","description":"Russell Viper Venom Time (Includes Venom); Diluted","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.69,"providers":[{"billed_charge":145.96,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8600859","description":"Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":97.56,"providers":[{"billed_charge":264.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":41.25,"providers":[{"billed_charge":41.25,"npi":[1083852776]}]},{"allowed_amount":43.75,"providers":[{"billed_charge":43.75,"npi":[1437768306,1851882724]}]},{"allowed_amount":93.8,"providers":[{"billed_charge":107.5,"npi":[1710402516,1851882724]}]},{"allowed_amount":44.75,"providers":[{"billed_charge":44.75,"npi":[1710402516]}]},{"allowed_amount":46.9,"providers":[{"billed_charge":53.75,"npi":[1437768306,1710402516]},{"billed_charge":50.0,"npi":[1437768306]}]},{"allowed_amount":89.5,"providers":[{"billed_charge":89.5,"npi":[1710402516]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME crutches purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0114NU","description":"Crutch Underarm Pair No Wood - with Purchase Modifier (NU)","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":18.05,"providers":[{"billed_charge":53.12,"npi":[1497731533]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4557NU","description":"Lead Wires, Pair","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":12.19,"providers":[{"billed_charge":39.0,"npi":[1770511552]}]}]}]},{"name":"Diagnostic testing OP professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0249","description":"Provision Of Test Materials And Equipment For Home Inr Monitoring To P","allowed_amounts":[{"tin":{"type":"ein","value":"264279439"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":92.3,"providers":[{"billed_charge":280.0,"npi":[1336420140]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":895.0,"npi":[1972530970]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":99.75,"npi":[]},{"billed_charge":132.51,"npi":[]},{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82653","description":"Elastase, pancreatic (EL-1), fecal; quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.63,"providers":[{"billed_charge":308.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.34,"providers":[{"billed_charge":204.31,"npi":[1538105366]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.88,"providers":[{"billed_charge":128.69,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":82.95,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.63,"providers":[{"billed_charge":58.81,"npi":[1609812445]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.94,"providers":[{"billed_charge":44.61,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":32.55,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"431039532"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.06,"providers":[{"billed_charge":52.05,"npi":[1609812445]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation Rate, Erythrocyte; Automated","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.44,"providers":[{"billed_charge":38.85,"npi":[1750368700]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":110.25,"npi":[1750368700]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":390.6,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]},{"allowed_amount":136.85,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1831600048]}]}]}]},{"name":"Naturopath office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"901716480"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":143.51,"providers":[{"billed_charge":300.0,"npi":[1780189332]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"743238060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":749.0,"providers":[{"billed_charge":2000.0,"npi":[1346479169]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":290.0,"npi":[1609395102]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":295.45,"providers":[{"billed_charge":311.0,"npi":[1881664597]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":123.51,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.39,"providers":[{"billed_charge":99.0,"npi":[]}]}]},{"tin":{"type":"ein","value":"851099688"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.11,"providers":[{"billed_charge":155.35,"npi":[1457977209]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.48,"providers":[{"billed_charge":242.0,"npi":[1699782722]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813QZ","description":"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":720.0,"npi":[1285766501]}]}]}]},{"name":"DME pneumatic compression device rental","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0652RR","description":"Pneum Compres W/Cal Pressure","allowed_amounts":[{"tin":{"type":"ein","value":"411801204"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":371.0,"providers":[{"billed_charge":770.0,"npi":[1427131424]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":24.37,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]},{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":94.44,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83002","description":"Gonadotropin; Luteinizing Hormone (Lh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.03,"providers":[{"billed_charge":128.92,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":206.49,"npi":[1073599478]}]}]}]},{"name":"Maternity screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836GT","description":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"930940205"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":137.5,"providers":[{"billed_charge":137.5,"npi":[1013085836]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.29,"providers":[{"billed_charge":3036.2,"npi":[1598314437]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":69.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":47.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87081","description":"Culture, Presumptive, Pathogenic Organisms, Screening Only","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.1,"providers":[{"billed_charge":28.7,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":228.0,"npi":[]},{"billed_charge":99.0,"npi":[]},{"billed_charge":202.49,"npi":[]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":25.66,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":1415.0,"npi":[1013955798]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8762559","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":142.8,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]},{"billed_charge":34.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":190.12,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.39,"providers":[{"billed_charge":14.21,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]},{"billed_charge":148.05,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.95,"providers":[{"billed_charge":38.78,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":76.8,"providers":[{"billed_charge":548.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86160","description":"Complement; Antigen, Each Component","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.12,"providers":[{"billed_charge":102.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86762","description":"Antibody; Rubella","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":99.12,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":75.6,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":96.16,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":210.54,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87505","description":"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes mul","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":141.12,"providers":[{"billed_charge":256.58,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":74.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":67.88,"npi":[]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":112.29,"npi":[1073599478]},{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":86.32,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":109.91,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":163.74,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.18,"providers":[{"billed_charge":4.18,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.47,"providers":[{"billed_charge":245.7,"npi":[1073599478]},{"billed_charge":145.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86141","description":"C-Reactive Protein; High Sensitivity (Hscrp)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":78.75,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":56.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.5,"providers":[{"billed_charge":53.0,"npi":[1073599478]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4225","description":"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":81.18,"providers":[{"billed_charge":446.97,"npi":[1609858729]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":25.0,"npi":[1073599478]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836GT","description":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":171.52,"providers":[{"billed_charge":257.18,"npi":[1962854034]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"930508781"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":263.2,"npi":[1366973927]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":85.46,"npi":[1073599478]},{"billed_charge":80.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":416.0,"providers":[{"billed_charge":560.0,"npi":[1942775721]}]},{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1447755699]}]}]},{"tin":{"type":"ein","value":"202906366"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":798.0,"npi":[1639568314]}]}]},{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1215230578]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"845041605"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":66.97,"npi":[1649717695]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910,1750368700]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":15.0,"npi":[1073590683,1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.3,"providers":[{"billed_charge":42.0,"npi":[1073590683,1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1073590683,1083141196]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.18,"providers":[{"billed_charge":82.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":177.45,"npi":[]}]}]},{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":50.0,"npi":[1073590683,1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.02,"providers":[{"billed_charge":22.0,"npi":[1073590683,1083141196]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":85.74,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1073590683,1083141196]}]}]},{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":245.7,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.24,"providers":[{"billed_charge":257.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":94.5,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]}]}]},{"name":"Lab Vitamin D - OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82306","description":"Vitamin D; 25 hydroxy, includes fraction(s), if performed","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.6,"providers":[{"billed_charge":45.0,"npi":[1073590683]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.72,"providers":[{"billed_charge":243.6,"npi":[]}]}]}]},{"name":"Mental professional adult IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"621658528"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":97.38,"providers":[{"billed_charge":170.0,"npi":[1730802661]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1083141196]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1942463450]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"813601188"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":67.0,"npi":[1780327106]}]}]},{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":107.5,"npi":[1710402516]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161GP","description":"Physical therapy eval: low complexity, requiring: hx with no personal factors that impact plan of care; exam of body system; clinical presentation; clinical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":107.5,"providers":[{"billed_charge":107.5,"npi":[1710402516]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":56.2,"providers":[{"billed_charge":238.35,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":341.73,"npi":[]},{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0481","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":320.0,"npi":[1497933162]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":43.5,"providers":[{"billed_charge":345.0,"npi":[1912903717]}]}]}]},{"name":"Acupuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97811","description":"Acupuncture, 1+ needles, without electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","allowed_amounts":[{"tin":{"type":"ein","value":"205143560"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.16,"providers":[{"billed_charge":45.0,"npi":[1184794182]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":540.0,"npi":[1962954115]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"410215170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":216.99,"providers":[{"billed_charge":216.99,"npi":[]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":324.0,"providers":[{"billed_charge":599.8,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"341650951"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":605.55,"providers":[{"billed_charge":1224.93,"npi":[1609858729]}]}]},{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":238.55,"providers":[{"billed_charge":712.32,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.6,"providers":[{"billed_charge":150.54,"npi":[1356334577]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"930798039"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":123.28,"providers":[{"billed_charge":304.0,"npi":[1831159490]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.37,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]},{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.59,"providers":[{"billed_charge":111.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":162.75,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86038","description":"Antinuclear Antibodies (Ana)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.97,"providers":[{"billed_charge":110.25,"npi":[1538144910]},{"billed_charge":111.77,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86704","description":"Hepatitis B Core Antibody (Hbcab); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.92,"providers":[{"billed_charge":100.8,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86706","description":"Hepatitis B Surface Antibody (Hbsab)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":91.35,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Hepatitis B surface antigen (HBsAg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.36,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8765359","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.62,"providers":[{"billed_charge":50.0,"npi":[1659655124]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":429.45,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]},{"allowed_amount":273.7,"providers":[{"billed_charge":421.08,"npi":[1689639544]}]},{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.23,"providers":[{"billed_charge":34.94,"npi":[1538105366]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.34,"providers":[{"billed_charge":204.31,"npi":[1538105366]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99417","description":"Prolonged OP E/M service(s) with or w/o direct pt. contact beyond the req. time of primary service when the primary service level has been selected total time, each 15 min.","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":228.0,"providers":[{"billed_charge":240.0,"npi":[1972982940]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112GP","description":"Therapeutic Proc, 1+ Areas, Each 15 Min; Neuromuscular Reeducation","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.9,"providers":[{"billed_charge":53.75,"npi":[1083852776]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"860872873"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":76.92,"npi":[1538105366]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":107.1,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":156.26,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":113.0,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":63.0,"npi":[1073599478]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":426.0,"npi":[1134212814]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":47.57,"npi":[1073599478]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":7.67,"npi":[]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":24.37,"npi":[]}]}]}]},{"name":"Substance Use Presumptive Testing - 36 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":202.49,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1386819480]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"824129987"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":1743.0,"npi":[1871988295]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80361","description":"Opiates, 1 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"916001537"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.47,"providers":[{"billed_charge":65.7,"npi":[1710105010]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81050","description":"Volume Measurement, Timed Collection, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":23.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83986","description":"pH; body fluid, not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":21.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84105","description":"Phosphorus Inorganic (Phosphate); Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":31.48,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84133","description":"Potassium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.95,"providers":[{"billed_charge":26.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84300","description":"Sodium; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.48,"providers":[{"billed_charge":30.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":209.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":28.68,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87563","description":"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":105.0,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":208.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":202.49,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":355.0,"npi":[1740685585]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":22.79,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81001","description":"Urinalysis, by dip stick or tablet reagent; automated, with microscopy","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.93,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":29.94,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":126.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":215.38,"npi":[1073599478]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":42.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1740685585]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, Routine W/At Least 12 Leads; Interpretation & Report Only","allowed_amounts":[{"tin":{"type":"ein","value":"930386868"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.08,"providers":[{"billed_charge":26.0,"npi":[1023092178]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":94.51,"npi":[]},{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":170.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87631","description":"Infectious Agent Detection By Nucleic Acid; Respiratory Virus, Reverse Transcription And Amp Probe Tech, 3-5 Targets","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.71,"providers":[{"billed_charge":142.63,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"853265657"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.04,"providers":[{"billed_charge":100.0,"npi":[1437768306]}]},{"allowed_amount":112.56,"providers":[{"billed_charge":150.0,"npi":[1437768306]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Chemical lab","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0048","description":"Alcohol And/Or Other Drug Testing: Collection And Handling Only, Specimens Other Than Blood","allowed_amounts":[{"tin":{"type":"ein","value":"811453666"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.03,"providers":[{"billed_charge":100.0,"npi":[1831144872]}]}]}]},{"name":"Chemical professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90853","description":"Group Psychotherapy (Other Than, Multiple-Family Group)","allowed_amounts":[{"tin":{"type":"ein","value":"811453666"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":52.26,"providers":[{"billed_charge":400.0,"npi":[1831144872]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time; 50 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.98,"providers":[{"billed_charge":410.0,"npi":[1508032327,1538551445,1609394253,1902991672]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82656","description":"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":20.0,"npi":[1811379001]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87482","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Quantification","allowed_amounts":[{"tin":{"type":"ein","value":"473208084"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.33,"providers":[{"billed_charge":60.0,"npi":[1811379001]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93271","description":"Ecg Recording Patient Demand Event W/ Presymptom Memory Loop, Monitor/24 Hrs, 30-Days; Analysis","allowed_amounts":[{"tin":{"type":"ein","value":"522283535"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":185.0,"providers":[{"billed_charge":1925.0,"npi":[1588664940]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":171.3,"providers":[{"billed_charge":1495.0,"npi":[1063414258]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter, per week","allowed_amounts":[{"tin":{"type":"ein","value":"954662001"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":73.4,"providers":[{"billed_charge":237.44,"npi":[1356334577]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":30.0,"providers":[{"billed_charge":49.95,"npi":[1619295516]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.94,"providers":[{"billed_charge":95.0,"npi":[1578061883]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.94,"providers":[{"billed_charge":62.0,"npi":[1376510008,1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":27.0,"npi":[1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":42.0,"npi":[1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":15.0,"npi":[1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.81,"providers":[{"billed_charge":47.0,"npi":[1376510008,1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84481","description":"Triiodothyronine T3; Free","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":38.0,"npi":[1578061883]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":23.0,"npi":[1376510008]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87511","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Gardnerella Vaginalis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3400.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"860800150"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":318.6,"providers":[{"billed_charge":354.0,"npi":[1538499645]}]}]},{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1134789522]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":478.32,"providers":[{"billed_charge":579.0,"npi":[1518210319]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.58,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"DME standard with maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745RR","description":"Neuromuscular Stim For Shock","allowed_amounts":[{"tin":{"type":"ein","value":"841451963"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":37.19,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]},{"allowed_amount":105.53,"providers":[{"billed_charge":449.0,"npi":[1770511552]}]}]}]},{"name":"DME with no maximum (no PA requirement)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0781RR","description":"External Ambulatory Infus Pu","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.0,"providers":[{"billed_charge":495.0,"npi":[1790730596]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"261565558"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.1,"providers":[{"billed_charge":235.0,"npi":[1497933162]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":323.19,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":101.82,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.51,"providers":[{"billed_charge":456.17,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":232.08,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.37,"providers":[{"billed_charge":77.7,"npi":[]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"300502262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":339.76,"providers":[{"billed_charge":414.0,"npi":[1538633656]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88312","description":"Special Stains; Group I, Microorganisms, Each","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.99,"providers":[{"billed_charge":230.0,"npi":[1922452515]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93296","description":"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":23.32,"providers":[{"billed_charge":70.0,"npi":[1124678263]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80359","description":"Methylenedioxyamphetamines (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":18.58,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83695","description":"Lipoprotein (a)","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.75,"providers":[{"billed_charge":126.0,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86003","description":"Allergen Specific Ige; Quantitative/Semiquantitative, Each Allergen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.73,"providers":[{"billed_charge":38.85,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8006159","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":35.33,"npi":[1538144910]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1962954115]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82040","description":"Albumin; serum, plasma or whole blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.11,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.11,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.06,"providers":[{"billed_charge":4.06,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.58,"providers":[{"billed_charge":4.11,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.43,"providers":[{"billed_charge":105.27,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":233.14,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":116.57,"npi":[]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836GT","description":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":171.52,"providers":[{"billed_charge":257.18,"npi":[1962854034]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":390.6,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7356226","description":"Radiologic examination, knee; 3 views","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":18.09,"providers":[{"billed_charge":28.0,"npi":[1821075565]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1639122088]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":226.46,"providers":[{"billed_charge":600.0,"npi":[1518402783]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.73,"providers":[{"billed_charge":77.7,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":54.0,"npi":[1073599478]},{"billed_charge":64.9,"npi":[1073599478]},{"billed_charge":97.63,"npi":[]}]},{"allowed_amount":26.89,"providers":[{"billed_charge":120.33,"npi":[]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99239","description":"Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter","allowed_amounts":[{"tin":{"type":"ein","value":"931097258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.34,"providers":[{"billed_charge":398.0,"npi":[1760789176]},{"billed_charge":414.0,"npi":[1760789176]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80076","description":"Hepatic Function Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.76,"providers":[{"billed_charge":48.3,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.79,"providers":[{"billed_charge":110.03,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":187.95,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]},{"billed_charge":39.41,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84146","description":"Prolactin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.6,"providers":[{"billed_charge":159.6,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":109.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":125.07,"npi":[]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]},{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]},{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":43.1,"npi":[1073599478]},{"billed_charge":47.57,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":63.1,"npi":[1073599478]},{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":97.15,"providers":[{"billed_charge":232.1,"npi":[1760182836,1831904184]}]}]},{"tin":{"type":"ein","value":"930798039"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":293.0,"npi":[1093903700]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":415.0,"npi":[1386002038]}]}]},{"tin":{"type":"ein","value":"931097258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":450.0,"npi":[1760887186]},{"billed_charge":468.0,"npi":[1013365469]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86780","description":"Antibody; Treponema Pallidum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.17,"providers":[{"billed_charge":102.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":160.51,"npi":[]}]},{"allowed_amount":64.6,"providers":[{"billed_charge":258.3,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":72.0,"npi":[1649407792]}]}]}]},{"name":"Substance Use Definitive Testing - 12 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0480","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","allowed_amounts":[{"tin":{"type":"ein","value":"923818310"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":162.27,"providers":[{"billed_charge":286.08,"npi":[1063253094]}]},{"allowed_amount":163.94,"providers":[{"billed_charge":286.08,"npi":[1063253094]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":250.0,"npi":[1386819480]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":355.0,"npi":[1417731605,1518199272,1740685585]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921325","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"455412849"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":141.37,"providers":[{"billed_charge":210.0,"npi":[1154002343,1255352985,1518935618]}]}]}]},{"name":"Xray OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"470923867"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":17.42,"providers":[{"billed_charge":27.0,"npi":[1427510700]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.89,"providers":[{"billed_charge":60.42,"npi":[]}]},{"allowed_amount":27.3,"providers":[{"billed_charge":54.0,"npi":[]},{"billed_charge":99.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1437135886]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":74.57,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":252.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.31,"providers":[{"billed_charge":138.6,"npi":[1437135886]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":49.5,"npi":[]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":40.95,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.17,"providers":[{"billed_charge":176.4,"npi":[1073599478]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":79.67,"providers":[{"billed_charge":123.0,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110GP","description":"Therapeutic procedure, 1 or more areas, each 15 min; therapeutic exercises to develop strength and endurance, range of motion and flexibility","allowed_amounts":[{"tin":{"type":"ein","value":"832416621"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.77,"providers":[{"billed_charge":65.92,"npi":[1114442365]}]},{"allowed_amount":30.67,"providers":[{"billed_charge":65.92,"npi":[1114442365]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"453966557"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":310.21,"providers":[{"billed_charge":355.0,"npi":[1518199272]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":177.45,"npi":[]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99283","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":114.63,"providers":[{"billed_charge":1813.84,"npi":[1366450793]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.66,"providers":[{"billed_charge":114.34,"npi":[]}]},{"allowed_amount":31.83,"providers":[{"billed_charge":57.17,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":114.35,"npi":[]}]}]}]},{"name":"OB lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromoso","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":786.45,"providers":[{"billed_charge":3900.0,"npi":[1558672279]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.18,"providers":[{"billed_charge":120.0,"npi":[1649407792]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":200.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.1,"providers":[{"billed_charge":187.95,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.09,"providers":[{"billed_charge":194.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.04,"providers":[{"billed_charge":39.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.2,"providers":[{"billed_charge":94.2,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"870468377"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":343.68,"providers":[{"billed_charge":479.16,"npi":[1689692576]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.3,"providers":[{"billed_charge":338.0,"npi":[1770322877]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":112.35,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":163.05,"npi":[1073599478]},{"billed_charge":117.94,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84482","description":"Triiodothyronine T3; Reverse","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.51,"providers":[{"billed_charge":256.54,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":71.4,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86376","description":"Microsomal Antibodies, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":119.7,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":284.49,"providers":[{"billed_charge":381.0,"npi":[1013196864]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"471497384"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":275.1,"providers":[{"billed_charge":275.1,"npi":[1972828333]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":175.64,"npi":[1073599478]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"DME misc purchase without maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361RT","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":152.18,"providers":[{"billed_charge":335.04,"npi":[1497731533]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":102.93,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":137.28,"npi":[1073599478]}]}]}]},{"name":"Radiation therapy physician OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7738726","description":"Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":334.4,"providers":[{"billed_charge":418.0,"npi":[1487035747,1588795140,1932163680]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"912046481"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.5,"providers":[{"billed_charge":35.0,"npi":[1538591995]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":48.3,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]},{"billed_charge":47.85,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87581","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycoplasma Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.98,"providers":[{"billed_charge":35.0,"npi":[1649539487]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8116159","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.5,"providers":[{"billed_charge":250.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8125759","description":"Hba1/Hba2 (Alpha Globin 1 And Alpha Globin 2), Gene Analysis, For Common Deletions Or Variant","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.13,"providers":[{"billed_charge":105.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8136159","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.89,"providers":[{"billed_charge":175.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140059","description":"Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"OB Genetic testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8140159","description":"Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using nonsequencing target variant analysis])","allowed_amounts":[{"tin":{"type":"ein","value":"010894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.5,"providers":[{"billed_charge":200.0,"npi":[1558672279]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.28,"providers":[{"billed_charge":153.0,"npi":[1922200286]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911352172"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":254.63,"providers":[{"billed_charge":360.0,"npi":[1316900665]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.33,"providers":[{"billed_charge":52.64,"npi":[1245198084]}]}]}]},{"name":"Hospital visit or service IP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital IP or obs care, per day, for the E/M of pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time, 35 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"820200895"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":133.62,"providers":[{"billed_charge":175.0,"npi":[1205859535]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"844264189"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":142.26,"providers":[{"billed_charge":300.0,"npi":[1699218826]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":543.64,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME diabetic needle free system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4230NU","description":"Infus Insulin Pump Non Needl","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":243.0,"providers":[{"billed_charge":449.85,"npi":[1619295516]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.97,"providers":[{"billed_charge":34.0,"npi":[1609542356]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":2461.65,"npi":[1366450793,1750423539,1942417670]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"271369141"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":320.95,"providers":[{"billed_charge":1286.0,"npi":[1043943442]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), separately reported high-risk types","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":75.0,"npi":[1033203393]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88142","description":"Cytopathology, Cervical/Vaginal, Preservative Fluid, Auto Thin Layer Prep; Manual Screen","allowed_amounts":[{"tin":{"type":"ein","value":"232892142"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.56,"providers":[{"billed_charge":40.0,"npi":[1033203393]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.87,"providers":[{"billed_charge":84.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1063497451]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]},{"allowed_amount":5.6,"providers":[{"billed_charge":20.0,"npi":[1073599478]},{"billed_charge":26.25,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":17.0,"npi":[1902141500]}]},{"allowed_amount":8.45,"providers":[{"billed_charge":18.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.84,"providers":[{"billed_charge":256.5,"npi":[]}]},{"allowed_amount":25.22,"providers":[{"billed_charge":200.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82043","description":"Albumin; Urine, Microalbumin, Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.22,"providers":[{"billed_charge":72.03,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82435","description":"Chloride; Blood","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.82,"providers":[{"billed_charge":3.82,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.01,"providers":[{"billed_charge":141.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84402","description":"Testosterone; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.1,"providers":[{"billed_charge":214.31,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":217.24,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84520","description":"Urea Nitrogen; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.63,"providers":[{"billed_charge":3.81,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86900","description":"Blood Typing; Abo","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.75,"providers":[{"billed_charge":45.68,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87481","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Candida, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.2,"providers":[{"billed_charge":263.2,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87541","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87798","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.62,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]},{"allowed_amount":250.89,"providers":[{"billed_charge":385.99,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":397.43,"providers":[{"billed_charge":579.04,"npi":[1245198084]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":210.0,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":105.0,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.37,"providers":[{"billed_charge":437.0,"npi":[1912566274]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921425","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.7,"providers":[{"billed_charge":437.0,"npi":[1609542356]}]},{"allowed_amount":283.99,"providers":[{"billed_charge":437.0,"npi":[1932609864]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84154","description":"Prostate Specific Antigen (Psa); Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.13,"providers":[{"billed_charge":92.79,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86803","description":"Hepatitis C Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.15,"providers":[{"billed_charge":131.76,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.38,"npi":[]},{"billed_charge":105.75,"npi":[1073599478]},{"billed_charge":153.58,"npi":[1073599478]}]}]},{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491XS","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"263813271"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":60.0,"npi":[1649407792]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":138.37,"npi":[]},{"billed_charge":105.74,"npi":[1073599478]},{"billed_charge":153.58,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":708.75,"npi":[]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.94,"providers":[{"billed_charge":100.8,"npi":[1073599478]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.36,"providers":[{"billed_charge":16.0,"npi":[1114345022]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87491","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":106.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":52.94,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.57,"providers":[{"billed_charge":848.44,"npi":[1073599478]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98943","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"901099110"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.34,"providers":[{"billed_charge":45.0,"npi":[1124380589]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":17.0,"npi":[1902141500]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.75,"providers":[{"billed_charge":40.0,"npi":[]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"263737594"},"service_code":["10","11"],"billing_class":"professional","payments":[{"allowed_amount":145.35,"providers":[{"billed_charge":250.0,"npi":[1487664603]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9083395","description":"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","allowed_amounts":[{"tin":{"type":"ein","value":"263737594"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":93.58,"providers":[{"billed_charge":200.0,"npi":[1487664603]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9894359","description":"Chiropractic Manipulative Treatment (Cmt); Extraspinal, 1 Or More Regions","allowed_amounts":[{"tin":{"type":"ein","value":"911113645"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.34,"providers":[{"billed_charge":40.0,"npi":[1407936586]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87486","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Pneumoniae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87640","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Staphylococcus Aureus, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"205522122"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":200.0,"npi":[1790055671]}]}]},{"tin":{"type":"ein","value":"814581707"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":126.35,"providers":[{"billed_charge":170.0,"npi":[1902344955]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.01,"providers":[{"billed_charge":21.0,"npi":[1538144910]}]}]}]},{"name":"Precare tests with no maximum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84153","description":"Prostate Specific Antigen (Psa); Total","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.69,"providers":[{"billed_charge":119.7,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"844944161"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":300.0,"npi":[1366927220]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.35,"providers":[{"billed_charge":33.0,"npi":[1619934817]}]}]}]},{"name":"Urgent care visit non facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9083","description":"Global fee urgent care centers","allowed_amounts":[{"tin":{"type":"ein","value":"901133689"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":149.3,"providers":[{"billed_charge":451.0,"npi":[1255739488]}]}]}]},{"name":"Consultation OP or office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99244","description":"Office or OP consult for new or est. patient, req. a medically apt history and/or Ex. and moderate level of medical decision making. Total time of the encounter, 40 min.+","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":704.9,"providers":[{"billed_charge":742.0,"npi":[1912983396]}]}]}]},{"name":"DME misc purchase with maximum (PA required if over $)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908RT","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","allowed_amounts":[{"tin":{"type":"ein","value":"522165554"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":21.28,"providers":[{"billed_charge":70.94,"npi":[1497731533]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":31.6,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":14.53,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80361","description":"Opiates, 1 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":22.45,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, Occult, Fecal Hemoglobin Determin, Immunoassay, Qualitative, Feces, 1-3 Simultan Determin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.6,"providers":[{"billed_charge":99.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.4,"providers":[{"billed_charge":158.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":106.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82784","description":"Gammaglobulin; Iga, Igd, Igg, Igm, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.54,"providers":[{"billed_charge":48.44,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8351659","description":"Immunoassay, Non-Antibody/Infectious Antigen Qual/Semiquant; Multiple Step Method","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.74,"providers":[{"billed_charge":298.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":53.13,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83615","description":"Lactate Dehydrogenase (Ld), (Ldh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":43.05,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83935","description":"Osmolality; Urine","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.1,"providers":[{"billed_charge":78.0,"npi":[1083249577]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86140","description":"C-Reactive Protein","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.9,"providers":[{"billed_charge":82.0,"npi":[1083249577]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":44.55,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86364","description":"Tissue transglutaminase, each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.46,"providers":[{"billed_charge":60.11,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8643159","description":"Rheumatoid Factor; Quantitative","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.64,"providers":[{"billed_charge":30.0,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86800","description":"Thyroglobulin Antibody","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.41,"providers":[{"billed_charge":79.55,"npi":[1245494517]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87651","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Streptococcus Group A, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"874778672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.8,"providers":[{"billed_charge":52.64,"npi":[1619618469]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8818559","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","allowed_amounts":[{"tin":{"type":"ein","value":"200434866"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.38,"providers":[{"billed_charge":282.9,"npi":[1245494517]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"332715760"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.3,"providers":[{"billed_charge":185.0,"npi":[1811413750]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":378.59,"providers":[{"billed_charge":461.0,"npi":[1043464373]}]}]}]},{"name":"Physical therapy office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140GP","description":"Manual therapy techniques (eg, mobilizaiton/manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"831157739"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.63,"providers":[{"billed_charge":60.0,"npi":[1871191122]}]},{"allowed_amount":20.12,"providers":[{"billed_charge":60.0,"npi":[1871191122]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":134.4,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":194.51,"npi":[1073599478]},{"billed_charge":177.45,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":36.67,"npi":[1073599478]}]}]}]},{"name":"Precare lab child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":49.43,"npi":[1073599478]}]}]}]},{"name":"Xray supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.72,"providers":[{"billed_charge":97.6,"npi":[1467744706]}]},{"allowed_amount":105.64,"providers":[{"billed_charge":111.2,"npi":[1073545117]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":20.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":250.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":46.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83550","description":"Iron Binding Capacity","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.06,"providers":[{"billed_charge":22.82,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.24,"providers":[{"billed_charge":241.5,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":47.75,"npi":[1073599478]}]}]}]},{"name":"Depression screening tests","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96127","description":"Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instr","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.55,"providers":[{"billed_charge":34.0,"npi":[1013086693]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":53.55,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83704","description":"Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.6,"providers":[{"billed_charge":89.62,"npi":[1538144910]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921595","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and high level decision making. Total time on the date of the encounter = 40 min","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":377.52,"providers":[{"billed_charge":471.9,"npi":[1003171976]}]}]}]},{"name":"Lab office","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"911641797"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.7,"providers":[{"billed_charge":18.0,"npi":[1316478183]}]}]}]},{"name":"ER, observation or crisis intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"ER department visit for the E/M of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"992417980"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":217.46,"providers":[{"billed_charge":2461.65,"npi":[1750423539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87624","description":"Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":150.38,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82785","description":"Gammaglobulin; Ige","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.12,"providers":[{"billed_charge":32.13,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":34.05,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and moderate level decision making. Total time on the date of the encounter = 45 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":431.74,"providers":[{"billed_charge":571.0,"npi":[1972007433]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":193.09,"providers":[{"billed_charge":311.0,"npi":[1336568484]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"911491167"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":241.39,"providers":[{"billed_charge":437.0,"npi":[1760818629]}]}]}]},{"name":"Home health services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99601","description":"Home infusion/specialty drug administration, per visit (up to 2 hours)","allowed_amounts":[{"tin":{"type":"ein","value":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":142.8,"providers":[{"billed_charge":147.3,"npi":[1871889212]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.22,"providers":[{"billed_charge":196.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.91,"providers":[{"billed_charge":53.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.42,"providers":[{"billed_charge":60.9,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87591","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87653","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group B, Amplified Probe Technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":35.09,"npi":[1689639544]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":85.75,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.2,"providers":[{"billed_charge":110.71,"npi":[1245720820]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84460","description":"Transferase; Alanine Amino (Alt) (Sgpt)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.35,"providers":[{"billed_charge":113.25,"npi":[1245720820]}]}]}]},{"name":"Cardiovascular testing OP professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93247","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":400.0,"providers":[{"billed_charge":595.0,"npi":[1710130539]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":137.26,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.45,"providers":[{"billed_charge":192.15,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":94.2,"npi":[1073599478]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"9921495","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"416011702"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":314.45,"providers":[{"billed_charge":331.0,"npi":[1710478094]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.03,"providers":[{"billed_charge":48.5,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.6,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.22,"providers":[{"billed_charge":21.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":107.1,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.98,"providers":[{"billed_charge":118.65,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86231","description":"Endomysial antibody (EMA), each immunoglobulin (Ig) class","allowed_amounts":[{"tin":{"type":"ein","value":"133757370"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.13,"providers":[{"billed_charge":143.55,"npi":[1538144910]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87661","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.81,"providers":[{"billed_charge":70.18,"npi":[1689639544]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8779859","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Nos; Amplified Probe Technique, Ea Organism","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":210.0,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":105.0,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":47.05,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":129.15,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":144.9,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.61,"providers":[{"billed_charge":708.75,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84439","description":"Thyroxine; Free","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.32,"providers":[{"billed_charge":22.7,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84450","description":"Transferase; Aspartate Amino (Ast) (Sgot)","allowed_amounts":[{"tin":{"type":"ein","value":"593205549"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.7,"providers":[{"billed_charge":116.25,"npi":[1245720820]}]},{"allowed_amount":7.2,"providers":[{"billed_charge":116.25,"npi":[1245720820]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"571181758"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":97.15,"providers":[{"billed_charge":232.1,"npi":[1760182836]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97153","description":"Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or QHC professional, face-to-face with one patient, each 15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"332725593"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":176.57,"providers":[{"billed_charge":280.0,"npi":[1740693068]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97155","description":"Adaptive behavior treatment w/ protocol mod, administered by physician or QHC professional, may incl simultaneous direction of tech, face-to-face with 1 patient, each 15 mins","allowed_amounts":[{"tin":{"type":"ein","value":"332725593"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":220.13,"providers":[{"billed_charge":260.0,"npi":[1740693068]}]}]}]},{"name":"ABA Therapy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97156","description":"Family adaptive behavior treatment guidance, administered by physician or QHC professional (w/ or w/o patient present), face-to-face w/ guardian(s)/caregiver(s), each 15 min","allowed_amounts":[{"tin":{"type":"ein","value":"332725593"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":110.06,"providers":[{"billed_charge":130.0,"npi":[1740693068]}]},{"allowed_amount":130.0,"providers":[{"billed_charge":130.0,"npi":[1740693068]}]}]}]},{"name":"Anesthesia OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"455362750"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":560.0,"npi":[1174652473]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"274672472"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":630.0,"npi":[1063450120]}]}]},{"tin":{"type":"ein","value":"202906366"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":312.0,"providers":[{"billed_charge":798.0,"npi":[1639568314]}]}]}]},{"name":"Chiro manipulations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98940","description":"Chiropractic manipulative treatment (CMT); spinal, 1-2 regions","allowed_amounts":[{"tin":{"type":"ein","value":"261442754"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.52,"providers":[{"billed_charge":60.0,"npi":[1689732943]}]}]}]},{"name":"DME breast pump purchase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0603NU","description":"Breast pump, electric (AC and/or DC), any type","allowed_amounts":[{"tin":{"type":"ein","value":"562222382"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":170.0,"providers":[{"billed_charge":249.0,"npi":[1891728697]}]}]}]},{"name":"DME insulin infusion pump supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4232NU","description":"Syringe W/Needle Insulin 3cc","allowed_amounts":[{"tin":{"type":"ein","value":"204327508"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":90.0,"providers":[{"billed_charge":149.85,"npi":[1619295516]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80048","description":"Basic Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.65,"providers":[{"billed_charge":47.57,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80053","description":"Comprehensive Metabolic Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.04,"providers":[{"billed_charge":51.45,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82728","description":"Ferritin","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.37,"providers":[{"billed_charge":89.25,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83540","description":"Iron","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.96,"providers":[{"billed_charge":40.67,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86147","description":"Cardiolipin (Phospholipid) Antibody, Ea Ig Class","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":512.04,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86200","description":"Cyclic citrullinated peptide (ccp), antibody","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.92,"providers":[{"billed_charge":86.89,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87077","description":"Culture, Bacterial; Aerobic Isolate, Add'l Methods Required For Definitive Id, Ea Isolate","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":11.81,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":14.08,"npi":[1073599478]},{"billed_charge":35.0,"npi":[1073599478]},{"billed_charge":58.35,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8759159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":233.17,"npi":[]}]}]}]},{"name":"OB ER professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","allowed_amounts":[{"tin":{"type":"ein","value":"911828806"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":328.97,"providers":[{"billed_charge":895.0,"npi":[1144795709]}]}]}]},{"name":"Office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and low level of decision making. Total time on the date of the encounter 20 min","allowed_amounts":[{"tin":{"type":"ein","value":"832849989"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.16,"providers":[{"billed_charge":411.0,"npi":[1376384651]}]},{"allowed_amount":192.85,"providers":[{"billed_charge":411.0,"npi":[1528589777]}]}]}]},{"name":"Office visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2211","description":"Visit complexity inherent to eval and management associated with medical care services that serve as the continuing focal point for all needed health care services","allowed_amounts":[{"tin":{"type":"ein","value":"911220843"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.02,"providers":[{"billed_charge":52.8,"npi":[1013441476]}]}]}]},{"name":"Pre-diabetes screening and counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]}]}]}]},{"name":"Precare colonoscopy - sigmoidoscopy OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81528","description":"oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers and fecal hemoglobin, utilizing stool, algorithm reported as a positi","allowed_amounts":[{"tin":{"type":"ein","value":"463095174"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.87,"providers":[{"billed_charge":681.0,"npi":[1629407069]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.8,"providers":[{"billed_charge":81.9,"npi":[1073599478]},{"billed_charge":45.3,"npi":[1073599478]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.83,"providers":[{"billed_charge":127.51,"npi":[]}]},{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Presumptive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80307","description":"Drug test, presumptive, number of drug classes, number of devices or proc, by instrument chemistry analyzers, chromatography, and mass spectrometry with/without chromatography","allowed_amounts":[{"tin":{"type":"ein","value":"851099688"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.77,"providers":[{"billed_charge":93.21,"npi":[1457977209]}]}]}]},{"name":"Anesthesia precare colonoscopy - sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812QZ","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","allowed_amounts":[{"tin":{"type":"ein","value":"202906366"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":364.0,"providers":[{"billed_charge":931.0,"npi":[1639568314]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":53.01,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80348","description":"Buprenorphine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":24.37,"npi":[]}]}]}]},{"name":"Definitive Pain Management Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80354","description":"Fentanyl","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":0.01,"providers":[{"billed_charge":23.31,"npi":[]}]}]}]},{"name":"Gynecological exam lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88175","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen & Manual Rescreen, W/Phys Interp","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.3,"providers":[{"billed_charge":132.51,"npi":[]},{"billed_charge":137.26,"npi":[]}]},{"allowed_amount":26.89,"providers":[{"billed_charge":137.26,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82607","description":"Cyanocobalamin (Vitamin B-12)","allowed_amounts":[{"tin":{"type":"ein","value":"200686677"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":43.0,"npi":[1083141196]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84443","description":"Thyroid Stimulating Hormone (Tsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.22,"providers":[{"billed_charge":152.9,"npi":[]},{"billed_charge":109.2,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8749159","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.3,"providers":[{"billed_charge":127.51,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.87,"providers":[{"billed_charge":144.9,"npi":[]}]},{"allowed_amount":27.28,"providers":[{"billed_charge":116.55,"npi":[]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87801","description":"Infectious Agent, Nucleic Acid (Dna/Rna), Multiple Organisms; Amplified Probe(S) Technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.65,"providers":[{"billed_charge":708.75,"npi":[]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80061","description":"Lipid Panel","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.07,"providers":[{"billed_charge":73.59,"npi":[1073599478]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87086","description":"Culture, Bacterial; Quantitative Colony Count, Urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.43,"providers":[{"billed_charge":30.4,"npi":[]}]}]}]},{"name":"Routine care/service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87088","description":"Culture, bacterial; with isolation and presumptive identification of each isolate, urine","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.44,"providers":[{"billed_charge":19.69,"npi":[]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88305","description":"Level IV - Surgical pathology, gross and microscopic examination","allowed_amounts":[{"tin":{"type":"ein","value":"203151822"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.66,"providers":[{"billed_charge":240.0,"npi":[1922452515]}]}]},{"tin":{"type":"ein","value":"472190514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.29,"providers":[{"billed_charge":201.15,"npi":[1831551092]}]}]}]},{"name":"Surgical pathology OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88381","description":"Microdissection (ie, Sample Preparation of Microscopically Identified Target); Manual","allowed_amounts":[{"tin":{"type":"ein","value":"990373279"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.16,"providers":[{"billed_charge":340.52,"npi":[1770833121]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82746","description":"Folic Acid; Serum","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.5,"providers":[{"billed_charge":40.0,"npi":[1073599478]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84403","description":"Testosterone; Total","allowed_amounts":[{"tin":{"type":"ein","value":"710897031"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.52,"providers":[{"billed_charge":264.83,"npi":[1366479099]}]}]}]},{"name":"Lab OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"8766159","description":"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":194.71,"npi":[]}]},{"allowed_amount":26.87,"providers":[{"billed_charge":54.95,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of Venous Blood by Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":26.25,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83001","description":"Gonadotropin; Follicle Stimulating Hormone (Fsh)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.9,"providers":[{"billed_charge":129.38,"npi":[1073599478]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83036","description":"Hemoglobin; Glycated","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":28.0,"npi":[]}]}]}]},{"name":"Mental health lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":39.9,"npi":[1073599478]}]}]}]},{"name":"Mental health office visit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214GT","description":"Office or other OP visit for the E&M of an est pt, req medically appropriate Hx and/or exam and moderate level decision making. Ttl time on the date of the encounter = 30 min","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":205.02,"providers":[{"billed_charge":271.4,"npi":[1841969912]}]}]}]},{"name":"Mental professional adult OP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837GT","description":"Psychotherapy, 60 minutes with patient","allowed_amounts":[{"tin":{"type":"ein","value":"832675429"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":294.38,"npi":[1356944474]}]}]},{"tin":{"type":"ein","value":"844582670"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":157.58,"providers":[{"billed_charge":1008.0,"npi":[1316066962]}]}]}]},{"name":"Precare lab adult","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87529","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Herpes Simplex Virus, Amplified Probe","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.6,"providers":[{"billed_charge":120.0,"npi":[]}]}]}]}]}