{ "reporting_entity_name": "AMPS", "reporting_entity_type": "third party", "last_updated_on": "2026-07-26", "version": "v2.1.0", "out_of_network": [ { "name": "SURG: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC", "billing_code_type": "MS-DRG", "billing_code_type_version": "2026-07-26", "billing_code": "270", "description": "SURG: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC", "allowed_amounts": [ { "tin": { "type": "ein", "value": "916068143" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 80806.91, "providers": [ { "billed_charge": 297949.78, "npi": [ 1134178999 ] } ] } ] } ] }, { "name": "Fna bx w/us gdn 1st les", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "10005", "description": "Fna bx w/us gdn 1st les", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 80.2, "providers": [ { "billed_charge": 2986, "npi": [ 1518104199 ] } ] } ] } ] }, { "name": "Application lower leg splint", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "29515", "description": "Application lower leg splint", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 58.85, "providers": [ { "billed_charge": 327.5, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Egd biopsy single/multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "43239", "description": "Egd biopsy single/multiple", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 156.6, "providers": [ { "billed_charge": 5539, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 546.06, "providers": [ { "billed_charge": 797, "npi": [ 1992941108 ] } ] } ] } ] }, { "name": "Colonoscopy w/lesion removal", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "45385", "description": "Colonoscopy w/lesion removal", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 284.17, "providers": [ { "billed_charge": 8052, "npi": [ 1518104199 ] } ] } ] } ] }, { "name": "Us urine capacity measure", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "51798", "description": "Us urine capacity measure", "allowed_amounts": [ { "tin": { "type": "ein", "value": "204483367" }, "billing_class": "professional", "payments": [ { "allowed_amount": 21.76, "providers": [ { "billed_charge": 62.74, "npi": [ 1346203536 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Njx interlaminar lmbr/sac", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "62323", "description": "Njx interlaminar lmbr/sac", "allowed_amounts": [ { "tin": { "type": "ein", "value": "020260334" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 116.32, "providers": [ { "billed_charge": 4847, "npi": [ 1033118104 ] } ] } ] } ] }, { "name": "Ct head/brain w/o dye", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "70450", "description": "Ct head/brain w/o dye", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 129.84, "providers": [ { "billed_charge": 1309, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 124.9, "providers": [ { "billed_charge": 2320.5, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Ct maxillofacial w/o dye", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "70486", "description": "Ct maxillofacial w/o dye", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 149.59, "providers": [ { "billed_charge": 2317.5, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Ct angiography neck", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "70498", "description": "Ct angiography neck", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 319.22, "providers": [ { "billed_charge": 2958, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "X-ray exam chest 1 view", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "71045", "description": "X-ray exam chest 1 view", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714755" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 434.75, "providers": [ { "billed_charge": 434.75, "npi": [ 1396765681 ] } ] }, { "allowed_amount": 29.59, "providers": [ { "billed_charge": 318.5, "npi": [ 1447221056 ] } ] }, { "allowed_amount": 10.88, "providers": [ { "billed_charge": 31, "npi": [ 1245277631 ] } ], "billing_code_modifier": [ "26" ] } ] } ] }, { "name": "X-ray exam chest 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "71046", "description": "X-ray exam chest 2 views", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 40.12, "providers": [ { "billed_charge": 358, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 526, "providers": [ { "billed_charge": 526, "npi": [ 1154400232 ] } ], "billing_code_modifier": [ "TC" ] }, { "allowed_amount": 58.06, "providers": [ { "billed_charge": 1351, "npi": [ 1871543215 ] } ] }, { "allowed_amount": 13.01, "providers": [ { "billed_charge": 37, "npi": [ 1245277631 ] } ], "billing_code_modifier": [ "26" ] }, { "allowed_amount": 26.87, "providers": [ { "billed_charge": 60, "npi": [ 1245277631 ] } ], "billing_code_modifier": [ "TC" ] }, { "allowed_amount": 13.3, "providers": [ { "billed_charge": 33, "npi": [ 1851437719 ] } ], "billing_code_modifier": [ "26" ] } ] } ] }, { "name": "Ct thorax w/dye", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "71260", "description": "Ct thorax w/dye", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 194.52, "providers": [ { "billed_charge": 2213.5, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "X-ray exam of knee 1 or 2", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "73560", "description": "X-ray exam of knee 1 or 2", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 39.73, "providers": [ { "billed_charge": 417, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "X-ray exam of lower leg", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "73590", "description": "X-ray exam of lower leg", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 36.31, "providers": [ { "billed_charge": 472, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "X-ray exam of ankle", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "73600", "description": "X-ray exam of ankle", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 37.45, "providers": [ { "billed_charge": 360.5, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "X-ray exam of ankle", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "73610", "description": "X-ray exam of ankle", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 44.73, "providers": [ { "billed_charge": 1371, "npi": [ 1518104199 ] } ] } ] } ] }, { "name": "X-ray exam of foot", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "73630", "description": "X-ray exam of foot", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 41.16, "providers": [ { "billed_charge": 1535, "npi": [ 1518104199 ] } ] } ] } ] }, { "name": "Ct lower extremity w/o dye", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "73700", "description": "Ct lower extremity w/o dye", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 152.56, "providers": [ { "billed_charge": 2257.5, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "X-ray exam abdomen 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "74019", "description": "X-ray exam abdomen 2 views", "allowed_amounts": [ { "tin": { "type": "ein", "value": "352528741" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 43.17, "providers": [ { "billed_charge": 599, "npi": [ 1396882205 ] } ] } ] } ] }, { "name": "Ct abd & pelv w/contrast", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "74177", "description": "Ct abd & pelv w/contrast", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 349.43, "providers": [ { "billed_charge": 4855, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Cardiac mri for morph w/dye", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "75561", "description": "Cardiac mri for morph w/dye", "allowed_amounts": [ { "tin": { "type": "ein", "value": "770465765" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 640.94, "providers": [ { "billed_charge": 14393, "npi": [ 1871543215 ] } ] } ] } ] }, { "name": "Us exam of head and neck", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "76536", "description": "Us exam of head and neck", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714755" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 97.56, "providers": [ { "billed_charge": 1381.5, "npi": [ 1396765681 ] } ] } ] } ] }, { "name": "Ultrasound breast limited", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "76642", "description": "Ultrasound breast limited", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714478" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 101.8, "providers": [ { "billed_charge": 608, "npi": [ 1821035940 ] } ] }, { "allowed_amount": 100.48, "providers": [ { "billed_charge": 550.65, "npi": [ 1629025648 ] } ] } ] } ] }, { "name": "Breast tomosynthesis bi", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "77063", "description": "Breast tomosynthesis bi", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714478" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 27.75, "providers": [ { "billed_charge": 140, "npi": [ 1821035940 ] }, { "billed_charge": 162.5, "npi": [ 1396765681 ] } ] }, { "allowed_amount": 30.87, "providers": [ { "billed_charge": 125.4, "npi": [ 1962461681 ] } ] }, { "allowed_amount": 27.62, "providers": [ { "billed_charge": 108.15, "npi": [ 1629025648 ] } ] } ] } ] }, { "name": "Dx mammo incl cad uni", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "77065", "description": "Dx mammo incl cad uni", "allowed_amounts": [ { "tin": { "type": "ein", "value": "620347580" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 148.59, "providers": [ { "billed_charge": 598.6, "npi": [ 1629025648 ] } ] } ] } ] }, { "name": "Scr mammo bi incl cad", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "77067", "description": "Scr mammo bi incl cad", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714478" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 108.26, "providers": [ { "billed_charge": 609, "npi": [ 1821035940 ] }, { "billed_charge": 531.5, "npi": [ 1396765681 ] } ] }, { "allowed_amount": 120.52, "providers": [ { "billed_charge": 936.6, "npi": [ 1962461681 ] } ] }, { "allowed_amount": 107.59, "providers": [ { "billed_charge": 631.8, "npi": [ 1629025648 ] } ] } ] } ] }, { "name": "Dxa bone density axial", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "77080", "description": "Dxa bone density axial", "allowed_amounts": [ { "tin": { "type": "ein", "value": "362169147" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 52.64, "providers": [ { "billed_charge": 820, "npi": [ 1164539730 ] } ] } ] } ] }, { "name": "Gastric emptying imag study", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "78264", "description": "Gastric emptying imag study", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 2373, "providers": [ { "billed_charge": 2373, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Metabolic panel total ca", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "80048", "description": "Metabolic panel total ca", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714755" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 165.25, "providers": [ { "billed_charge": 165.25, "npi": [ 1396765681 ] } ] }, { "allowed_amount": 104, "providers": [ { "billed_charge": 104, "npi": [ 1366515488 ] } ] }, { "allowed_amount": 11, "providers": [ { "billed_charge": 1035, "npi": [ 1871543215 ] } ] } ] } ] }, { "name": "General health panel", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "80050", "description": "General health panel", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 35, "providers": [ { "billed_charge": 309.72, "npi": [ 1932166386 ] }, { "billed_charge": 317.18, "npi": [ 1609812445 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Electrolyte panel", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "80051", "description": "Electrolyte panel", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 149, "providers": [ { "billed_charge": 149, "npi": [ 1124127683 ] } ] }, { "allowed_amount": 9.11, "providers": [ { "billed_charge": 80, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Comprehen metabolic panel", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "80053", "description": "Comprehen metabolic panel", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 13.73, "providers": [ { "billed_charge": 130, "npi": [ 1720159338 ] }, { "billed_charge": 272, "npi": [ 1447221056 ] }, { "billed_charge": 1243, "npi": [ 1871543215 ] } ] }, { "allowed_amount": 10.56, "providers": [ { "billed_charge": 38, "npi": [ 1306089206 ] }, { "billed_charge": 48.3, "npi": [ 1285014282 ] }, { "billed_charge": 48.3, "npi": [ 1932184322 ] }, { "billed_charge": 77, "npi": [ 1710064811 ] }, { "billed_charge": 105.79, "npi": [ 1841236684 ] }, { "billed_charge": 105.79, "npi": [ 1932166386 ] }, { "billed_charge": 105.79, "npi": [ 1609812445 ] } ] } ] } ] }, { "name": "Lipid panel", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "80061", "description": "Lipid panel", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 13.39, "providers": [ { "billed_charge": 102.9, "npi": [ 1285014282 ] }, { "billed_charge": 97.65, "npi": [ 1932184322 ] }, { "billed_charge": 177.9, "npi": [ 1841236684 ] }, { "billed_charge": 177.9, "npi": [ 1609812445 ] }, { "billed_charge": 177.9, "npi": [ 1609812445 ] }, { "billed_charge": 102.9, "npi": [ 1881679751 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Renal function panel", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "80069", "description": "Renal function panel", "allowed_amounts": [ { "tin": { "type": "ein", "value": "223137283" }, "billing_class": "professional", "payments": [ { "allowed_amount": 8.68, "providers": [ { "billed_charge": 91.71, "npi": [ 1841236684 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Hepatic function panel", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "80076", "description": "Hepatic function panel", "allowed_amounts": [ { "tin": { "type": "ein", "value": "840611484" }, "billing_class": "professional", "payments": [ { "allowed_amount": 8.17, "providers": [ { "billed_charge": 43.05, "npi": [ 1881679751 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Drug test prsmv chem anlyzr", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "80307", "description": "Drug test prsmv chem anlyzr", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 80.78, "providers": [ { "billed_charge": 324, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Urinalysis auto w/scope", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "81001", "description": "Urinalysis auto w/scope", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 4.12, "providers": [ { "billed_charge": 28, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 3.17, "providers": [ { "billed_charge": 46.2, "npi": [ 1285014282 ] } ] } ] } ] }, { "name": "Urinalysis nonauto w/o scope", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "81002", "description": "Urinalysis nonauto w/o scope", "allowed_amounts": [ { "tin": { "type": "ein", "value": "542129332" }, "billing_class": "professional", "payments": [ { "allowed_amount": 3.48, "providers": [ { "billed_charge": 17, "npi": [ 1871572032 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Urinalysis auto w/o scope", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "81003", "description": "Urinalysis auto w/o scope", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 2.93, "providers": [ { "billed_charge": 103, "npi": [ 1447221056 ] } ] }, { "allowed_amount": 2.25, "providers": [ { "billed_charge": 8.31, "npi": [ 1346203536 ] } ] } ] } ] }, { "name": "Assay of serum albumin", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82040", "description": "Assay of serum albumin", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 52, "providers": [ { "billed_charge": 52, "npi": [ 1124127683 ] } ] } ] } ] }, { "name": "Ur albumin quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82043", "description": "Ur albumin quantitative", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 7.51, "providers": [ { "billed_charge": 77, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 5.78, "providers": [ { "billed_charge": 87.39, "npi": [ 1285014282 ] }, { "billed_charge": 87.39, "npi": [ 1881679751 ] } ] } ] } ] }, { "name": "Alpha-1-antitrypsin total", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82103", "description": "Alpha-1-antitrypsin total", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714357" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 17.47, "providers": [ { "billed_charge": 159, "npi": [ 1861506560 ] } ] } ] } ] }, { "name": "Alpha-1-antitrypsin pheno", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82104", "description": "Alpha-1-antitrypsin pheno", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714357" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 18.8, "providers": [ { "billed_charge": 794, "npi": [ 1861506560 ] } ] } ] } ] }, { "name": "Assay of amylase", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82150", "description": "Assay of amylase", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 8.42, "providers": [ { "billed_charge": 154.5, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Assay of arsenic", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82175", "description": "Assay of arsenic", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 18.97, "providers": [ { "billed_charge": 218.89, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Bilirubin total", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82247", "description": "Bilirubin total", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 35, "providers": [ { "billed_charge": 35, "npi": [ 1124127683 ] } ] } ] } ] }, { "name": "Assay of cadmium", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82300", "description": "Assay of cadmium", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 23.64, "providers": [ { "billed_charge": 218.89, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Vitamin d 25 hydroxy", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82306", "description": "Vitamin d 25 hydroxy", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 326, "providers": [ { "billed_charge": 326, "npi": [ 1366515488 ] } ] }, { "allowed_amount": 29.6, "providers": [ { "billed_charge": 243.6, "npi": [ 1932184322 ] }, { "billed_charge": 224, "npi": [ 1710064811 ] }, { "billed_charge": 290.49, "npi": [ 1841236684 ] } ] } ] } ] }, { "name": "Assay of calcium", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82310", "description": "Assay of calcium", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 50, "providers": [ { "billed_charge": 50, "npi": [ 1124127683 ] } ] } ] } ] }, { "name": "Assay of calcium", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82330", "description": "Assay of calcium", "allowed_amounts": [ { "tin": { "type": "ein", "value": "205657908" }, "billing_class": "professional", "payments": [ { "allowed_amount": 13.68, "providers": [ { "billed_charge": 95, "npi": [ 1710064811 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of ceruloplasmin", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82390", "description": "Assay of ceruloplasmin", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714357" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 13.96, "providers": [ { "billed_charge": 142, "npi": [ 1861506560 ] } ] }, { "allowed_amount": 10.74, "providers": [ { "billed_charge": 94.57, "npi": [ 1841236684 ] } ] } ] } ] }, { "name": "Total cortisol", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82533", "description": "Total cortisol", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 201, "providers": [ { "billed_charge": 201, "npi": [ 1366515488 ] } ] } ] } ] }, { "name": "Col chromotography qual/quan", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82542", "description": "Col chromotography qual/quan", "allowed_amounts": [ { "tin": { "type": "ein", "value": "562070036" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 31.32, "providers": [ { "billed_charge": 305, "npi": [ 1992703540 ] } ] } ] } ] }, { "name": "Assay of ck (cpk)", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82550", "description": "Assay of ck (cpk)", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 6.51, "providers": [ { "billed_charge": 68.91, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of creatinine", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82565", "description": "Assay of creatinine", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 60, "providers": [ { "billed_charge": 60, "npi": [ 1124127683 ] } ] }, { "allowed_amount": 6.66, "providers": [ { "billed_charge": 18, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 5.12, "providers": [ { "billed_charge": 36, "npi": [ 1568922862 ] } ] } ] } ] }, { "name": "Assay of urine creatinine", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82570", "description": "Assay of urine creatinine", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 5.18, "providers": [ { "billed_charge": 78.51, "npi": [ 1285014282 ] }, { "billed_charge": 75.19, "npi": [ 1841236684 ] }, { "billed_charge": 68.91, "npi": [ 1932166386 ] }, { "billed_charge": 78.51, "npi": [ 1881679751 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Vitamin b-12", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82607", "description": "Vitamin b-12", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 15.08, "providers": [ { "billed_charge": 103.16, "npi": [ 1932184322 ] }, { "billed_charge": 144.58, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Dehydroepiandrosterone", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82627", "description": "Dehydroepiandrosterone", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 22.23, "providers": [ { "billed_charge": 139.65, "npi": [ 1932184322 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of estradiol", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82670", "description": "Assay of estradiol", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 259, "providers": [ { "billed_charge": 259, "npi": [ 1366515488 ] } ] }, { "allowed_amount": 27.94, "providers": [ { "billed_charge": 182.7, "npi": [ 1932184322 ] } ] } ] } ] }, { "name": "Assay of ferritin", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82728", "description": "Assay of ferritin", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 440, "providers": [ { "billed_charge": 440, "npi": [ 1518104199 ] } ] }, { "allowed_amount": 17.72, "providers": [ { "billed_charge": 406, "npi": [ 1861506560 ] } ] }, { "allowed_amount": 13.63, "providers": [ { "billed_charge": 82.95, "npi": [ 1932184322 ] }, { "billed_charge": 135.12, "npi": [ 1841236684 ] }, { "billed_charge": 135.12, "npi": [ 1932166386 ] } ] } ] } ] }, { "name": "Assay of folic acid serum", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82746", "description": "Assay of folic acid serum", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 14.7, "providers": [ { "billed_charge": 100.54, "npi": [ 1932184322 ] }, { "billed_charge": 141.88, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay iga/igd/igg/igm each", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82784", "description": "Assay iga/igd/igg/igm each", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714357" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 24.18, "providers": [ { "billed_charge": 284, "npi": [ 1861506560 ] } ] }, { "allowed_amount": 9.3, "providers": [ { "billed_charge": 108, "npi": [ 1396882205 ] } ] } ] } ] }, { "name": "Assay glucose blood quant", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82947", "description": "Assay glucose blood quant", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 5.11, "providers": [ { "billed_charge": 20, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Glucose test", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82950", "description": "Glucose test", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 4.75, "providers": [ { "billed_charge": 38.85, "npi": [ 1295726032 ] }, { "billed_charge": 38.85, "npi": [ 1265418669 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Glucose tolerance test (gtt)", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82951", "description": "Glucose tolerance test (gtt)", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 12.87, "providers": [ { "billed_charge": 104.62, "npi": [ 1295726032 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Gtt-added samples", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "82952", "description": "Gtt-added samples", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 3.92, "providers": [ { "billed_charge": 31.88, "npi": [ 1295726032 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of gonadotropin (fsh)", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83001", "description": "Assay of gonadotropin (fsh)", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 229, "providers": [ { "billed_charge": 229, "npi": [ 1366515488 ] } ] } ] } ] }, { "name": "Assay of gonadotropin (lh)", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83002", "description": "Assay of gonadotropin (lh)", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 229, "providers": [ { "billed_charge": 229, "npi": [ 1366515488 ] } ] } ] } ] }, { "name": "Heavy metal quant each nes", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83018", "description": "Heavy metal quant each nes", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 43.92, "providers": [ { "billed_charge": 402.65, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Glycosylated hemoglobin test", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83036", "description": "Glycosylated hemoglobin test", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 12.62, "providers": [ { "billed_charge": 97, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 9.71, "providers": [ { "billed_charge": 77.7, "npi": [ 1285014282 ] }, { "billed_charge": 69.3, "npi": [ 1932184322 ] }, { "billed_charge": 89.2, "npi": [ 1841236684 ] }, { "billed_charge": 89.2, "npi": [ 1609812445 ] }, { "billed_charge": 89.2, "npi": [ 1609812445 ] } ] } ] } ] }, { "name": "Immunoassay nonantibody", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83516", "description": "Immunoassay nonantibody", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714357" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 14.99, "providers": [ { "billed_charge": 67, "npi": [ 1861506560 ] } ] } ] } ] }, { "name": "Ria nonantibody", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83519", "description": "Ria nonantibody", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 227, "providers": [ { "billed_charge": 227, "npi": [ 1366515488 ] } ] } ] } ] }, { "name": "Immunoassay quant nos nonab", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83520", "description": "Immunoassay quant nos nonab", "allowed_amounts": [ { "tin": { "type": "ein", "value": "205657908" }, "billing_class": "professional", "payments": [ { "allowed_amount": 17.27, "providers": [ { "billed_charge": 172, "npi": [ 1710064811 ] }, { "billed_charge": 179.34, "npi": [ 1609812445 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of iron", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83540", "description": "Assay of iron", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 139, "providers": [ { "billed_charge": 139, "npi": [ 1518104199 ] } ] }, { "allowed_amount": 6.47, "providers": [ { "billed_charge": 33.05, "npi": [ 1932184322 ] }, { "billed_charge": 45.72, "npi": [ 1932166386 ] } ] } ] } ] }, { "name": "Iron binding test", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83550", "description": "Iron binding test", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 188, "providers": [ { "billed_charge": 188, "npi": [ 1518104199 ] } ] }, { "allowed_amount": 8.74, "providers": [ { "billed_charge": 44.65, "npi": [ 1932184322 ] }, { "billed_charge": 61.76, "npi": [ 1932166386 ] } ] } ] } ] }, { "name": "Assay of lead", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83655", "description": "Assay of lead", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 12.11, "providers": [ { "billed_charge": 186.46, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of lipase", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83690", "description": "Assay of lipase", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 8.96, "providers": [ { "billed_charge": 136, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Assay of blood lipoprotein", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83721", "description": "Assay of blood lipoprotein", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 10.5, "providers": [ { "billed_charge": 97.65, "npi": [ 1932184322 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of magnesium", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83735", "description": "Assay of magnesium", "allowed_amounts": [ { "tin": { "type": "ein", "value": "770465765" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 8.71, "providers": [ { "billed_charge": 637, "npi": [ 1871543215 ] } ] }, { "allowed_amount": 6.7, "providers": [ { "billed_charge": 117.6, "npi": [ 1932184322 ] }, { "billed_charge": 40, "npi": [ 1710064811 ] }, { "billed_charge": 66.21, "npi": [ 1841236684 ] }, { "billed_charge": 66.21, "npi": [ 1932166386 ] } ] } ] } ] }, { "name": "Mass spectrometry qual/quan", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83789", "description": "Mass spectrometry qual/quan", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 24.11, "providers": [ { "billed_charge": 77.7, "npi": [ 1932184322 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of mercury", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83825", "description": "Assay of mercury", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 16.26, "providers": [ { "billed_charge": 186.46, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of parathormone", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83970", "description": "Assay of parathormone", "allowed_amounts": [ { "tin": { "type": "ein", "value": "205657908" }, "billing_class": "professional", "payments": [ { "allowed_amount": 41.28, "providers": [ { "billed_charge": 180, "npi": [ 1710064811 ] }, { "billed_charge": 290.49, "npi": [ 1841236684 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay for calprotectin fecal", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "83993", "description": "Assay for calprotectin fecal", "allowed_amounts": [ { "tin": { "type": "ein", "value": "352528741" }, "billing_class": "professional", "payments": [ { "allowed_amount": 19.63, "providers": [ { "billed_charge": 347, "npi": [ 1396882205 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay alkaline phosphatase", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84075", "description": "Assay alkaline phosphatase", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 53, "providers": [ { "billed_charge": 53, "npi": [ 1124127683 ] } ] } ] } ] }, { "name": "Assay alkaline phosphatases", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84080", "description": "Assay alkaline phosphatases", "allowed_amounts": [ { "tin": { "type": "ein", "value": "205657908" }, "billing_class": "professional", "payments": [ { "allowed_amount": 14.78, "providers": [ { "billed_charge": 101, "npi": [ 1710064811 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of phosphorus", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84100", "description": "Assay of phosphorus", "allowed_amounts": [ { "tin": { "type": "ein", "value": "205657908" }, "billing_class": "professional", "payments": [ { "allowed_amount": 4.74, "providers": [ { "billed_charge": 27, "npi": [ 1710064811 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of progesterone", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84144", "description": "Assay of progesterone", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 193, "providers": [ { "billed_charge": 193, "npi": [ 1366515488 ] } ] }, { "allowed_amount": 20.86, "providers": [ { "billed_charge": 139.65, "npi": [ 1932184322 ] } ] } ] } ] }, { "name": "Assay of psa total", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84153", "description": "Assay of psa total", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 177, "providers": [ { "billed_charge": 177, "npi": [ 1124127683 ] } ] }, { "allowed_amount": 23.91, "providers": [ { "billed_charge": 85, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 18.39, "providers": [ { "billed_charge": 112.35, "npi": [ 1932184322 ] } ] } ] } ] }, { "name": "Assay of protein serum", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84155", "description": "Assay of protein serum", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 72, "providers": [ { "billed_charge": 72, "npi": [ 1124127683 ] } ] } ] } ] }, { "name": "Assay of protein urine", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84156", "description": "Assay of protein urine", "allowed_amounts": [ { "tin": { "type": "ein", "value": "223137283" }, "billing_class": "professional", "payments": [ { "allowed_amount": 3.67, "providers": [ { "billed_charge": 53.17, "npi": [ 1841236684 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of vitamin b-6", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84207", "description": "Assay of vitamin b-6", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 28.1, "providers": [ { "billed_charge": 302.67, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of somatomedin", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84305", "description": "Assay of somatomedin", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 197, "providers": [ { "billed_charge": 197, "npi": [ 1366515488 ] } ] }, { "allowed_amount": 21.26, "providers": [ { "billed_charge": 240.5, "npi": [ 1932166386 ] } ] } ] } ] }, { "name": "Assay of free testosterone", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84402", "description": "Assay of free testosterone", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 25.47, "providers": [ { "billed_charge": 197.65, "npi": [ 1932184322 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of total testosterone", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84403", "description": "Assay of total testosterone", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 33.55, "providers": [ { "billed_charge": 139, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 25.81, "providers": [ { "billed_charge": 200.3, "npi": [ 1932184322 ] }, { "billed_charge": 237.8, "npi": [ 1932166386 ] } ] } ] } ] }, { "name": "Assay of free thyroxine", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84439", "description": "Assay of free thyroxine", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 111, "providers": [ { "billed_charge": 111, "npi": [ 1366515488 ] } ] }, { "allowed_amount": 9.02, "providers": [ { "billed_charge": 106.05, "npi": [ 1932184322 ] }, { "billed_charge": 70, "npi": [ 1710064811 ] }, { "billed_charge": 175.64, "npi": [ 1932166386 ] }, { "billed_charge": 175.64, "npi": [ 1609812445 ] } ] } ] } ] }, { "name": "Assay thyroid stim hormone", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84443", "description": "Assay thyroid stim hormone", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 207, "providers": [ { "billed_charge": 207, "npi": [ 1366515488 ] } ] }, { "allowed_amount": 16.8, "providers": [ { "billed_charge": 98.7, "npi": [ 1932184322 ] }, { "billed_charge": 108, "npi": [ 1710064811 ] }, { "billed_charge": 156.74, "npi": [ 1841236684 ] }, { "billed_charge": 70.5, "npi": [ 1215048913 ] } ] } ] } ] }, { "name": "Assay of tsi globulin", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84445", "description": "Assay of tsi globulin", "allowed_amounts": [ { "tin": { "type": "ein", "value": "205657908" }, "billing_class": "professional", "payments": [ { "allowed_amount": 50.86, "providers": [ { "billed_charge": 380, "npi": [ 1710064811 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Transferase (ast) (sgot)", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84450", "description": "Transferase (ast) (sgot)", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 36, "providers": [ { "billed_charge": 36, "npi": [ 1124127683 ] } ] }, { "allowed_amount": 5.18, "providers": [ { "billed_charge": 36, "npi": [ 1568922862 ] } ] } ] } ] }, { "name": "Alanine amino (alt) (sgpt)", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84460", "description": "Alanine amino (alt) (sgpt)", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 37, "providers": [ { "billed_charge": 37, "npi": [ 1124127683 ] } ] }, { "allowed_amount": 5.3, "providers": [ { "billed_charge": 61.72, "npi": [ 1841236684 ] } ] } ] } ] }, { "name": "Free assay (ft-3)", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84481", "description": "Free assay (ft-3)", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 16.94, "providers": [ { "billed_charge": 198.45, "npi": [ 1932184322 ] }, { "billed_charge": 127, "npi": [ 1710064811 ] }, { "billed_charge": 271.59, "npi": [ 1932166386 ] }, { "billed_charge": 271.59, "npi": [ 1609812445 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "T3 reverse", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84482", "description": "T3 reverse", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 15.76, "providers": [ { "billed_charge": 247.8, "npi": [ 1932184322 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Assay of troponin quant", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84484", "description": "Assay of troponin quant", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 16.21, "providers": [ { "billed_charge": 95, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 235.75, "providers": [ { "billed_charge": 235.75, "npi": [ 1396765681 ] } ] }, { "allowed_amount": 16.21, "providers": [ { "billed_charge": 1120, "npi": [ 1871543215 ] } ] } ] } ] }, { "name": "Assay of urea nitrogen", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84520", "description": "Assay of urea nitrogen", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 60, "providers": [ { "billed_charge": 60, "npi": [ 1124127683 ] } ] }, { "allowed_amount": 5.14, "providers": [ { "billed_charge": 25, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Assay of blood/uric acid", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84550", "description": "Assay of blood/uric acid", "allowed_amounts": [ { "tin": { "type": "ein", "value": "834081563" }, "billing_class": "professional", "payments": [ { "allowed_amount": 4.52, "providers": [ { "billed_charge": 36, "npi": [ 1568922862 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Chorionic gonadotropin assay", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "84703", "description": "Chorionic gonadotropin assay", "allowed_amounts": [ { "tin": { "type": "ein", "value": "840611484" }, "billing_class": "professional", "payments": [ { "allowed_amount": 7.52, "providers": [ { "billed_charge": 115.5, "npi": [ 1881679751 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Hematocrit", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "85014", "description": "Hematocrit", "allowed_amounts": [ { "tin": { "type": "ein", "value": "223137283" }, "billing_class": "professional", "payments": [ { "allowed_amount": 2.37, "providers": [ { "billed_charge": 9.29, "npi": [ 1841236684 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Hemoglobin", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "85018", "description": "Hemoglobin", "allowed_amounts": [ { "tin": { "type": "ein", "value": "061483728" }, "billing_class": "professional", "payments": [ { "allowed_amount": 2.37, "providers": [ { "billed_charge": 8, "npi": [ 1801826680 ] }, { "billed_charge": 9.29, "npi": [ 1841236684 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Complete cbc w/auto diff wbc", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "85025", "description": "Complete cbc w/auto diff wbc", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 105, "providers": [ { "billed_charge": 105, "npi": [ 1124127683 ] } ] }, { "allowed_amount": 10.1, "providers": [ { "billed_charge": 65, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 95.75, "providers": [ { "billed_charge": 95.75, "npi": [ 1396765681 ] } ] }, { "allowed_amount": 10.1, "providers": [ { "billed_charge": 154.5, "npi": [ 1447221056 ] }, { "billed_charge": 445, "npi": [ 1871543215 ] } ] }, { "allowed_amount": 7.77, "providers": [ { "billed_charge": 32.55, "npi": [ 1285014282 ] }, { "billed_charge": 32.55, "npi": [ 1932184322 ] }, { "billed_charge": 54.65, "npi": [ 1841236684 ] }, { "billed_charge": 54.65, "npi": [ 1932166386 ] }, { "billed_charge": 32.55, "npi": [ 1265418669 ] }, { "billed_charge": 32.55, "npi": [ 1881679751 ] } ] } ] } ] }, { "name": "Complete cbc automated", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "85027", "description": "Complete cbc automated", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 218, "providers": [ { "billed_charge": 218, "npi": [ 1518104199 ] } ] }, { "allowed_amount": 8.41, "providers": [ { "billed_charge": 444, "npi": [ 1871543215 ] } ] }, { "allowed_amount": 6.47, "providers": [ { "billed_charge": 30, "npi": [ 1306089206 ] }, { "billed_charge": 32.23, "npi": [ 1295726032 ] }, { "billed_charge": 56, "npi": [ 1568922862 ] } ] } ] } ] }, { "name": "Fibrin degradation quant", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "85379", "description": "Fibrin degradation quant", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714755" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 301.5, "providers": [ { "billed_charge": 301.5, "npi": [ 1396765681 ] } ] } ] } ] }, { "name": "Prothrombin time", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "85610", "description": "Prothrombin time", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 5.58, "providers": [ { "billed_charge": 49, "npi": [ 1720159338 ] }, { "billed_charge": 35, "npi": [ 1861506560 ] }, { "billed_charge": 128.5, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Rbc sed rate automated", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "85652", "description": "Rbc sed rate automated", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 3.51, "providers": [ { "billed_charge": 55, "npi": [ 1720159338 ] }, { "billed_charge": 60, "npi": [ 1861506560 ] } ] } ] } ] }, { "name": "Thromboplastin time partial", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "85730", "description": "Thromboplastin time partial", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 7.81, "providers": [ { "billed_charge": 159.5, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Allg spec ige crude xtrc ea", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86003", "description": "Allg spec ige crude xtrc ea", "allowed_amounts": [ { "tin": { "type": "ein", "value": "431039532" }, "billing_class": "professional", "payments": [ { "allowed_amount": 60.03, "providers": [ { "billed_charge": 450.675, "npi": [ 1609812445 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Allg spec ige recomb ea", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86008", "description": "Allg spec ige recomb ea", "allowed_amounts": [ { "tin": { "type": "ein", "value": "431039532" }, "billing_class": "professional", "payments": [ { "allowed_amount": 23.906666666666666, "providers": [ { "billed_charge": 65.31666666666666, "npi": [ 1609812445 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Antinuclear antibodies", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86038", "description": "Antinuclear antibodies", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714357" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 15.72, "providers": [ { "billed_charge": 150, "npi": [ 1861506560 ] } ] }, { "allowed_amount": 12.09, "providers": [ { "billed_charge": 101.34, "npi": [ 1841236684 ] } ] } ] } ] }, { "name": "C-reactive protein", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86140", "description": "C-reactive protein", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 6.73, "providers": [ { "billed_charge": 42, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 5.18, "providers": [ { "billed_charge": 24, "npi": [ 1306089206 ] } ] } ] } ] }, { "name": "Complement antigen", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86160", "description": "Complement antigen", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 15.6, "providers": [ { "billed_charge": 108, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Dna antibody native", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86225", "description": "Dna antibody native", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 17.86, "providers": [ { "billed_charge": 143, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 13.74, "providers": [ { "billed_charge": 132.97, "npi": [ 1932166386 ] } ] } ] } ] }, { "name": "Nuclear antigen antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86235", "description": "Nuclear antigen antibody", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 35.86, "providers": [ { "billed_charge": 265.94, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Fluorescent antibody screen", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86255", "description": "Fluorescent antibody screen", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714357" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 15.67, "providers": [ { "billed_charge": 103, "npi": [ 1861506560 ] } ] } ] } ] }, { "name": "Immunoassay tumor ca 125", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86304", "description": "Immunoassay tumor ca 125", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 20.81, "providers": [ { "billed_charge": 174.3, "npi": [ 1285014282 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Microsomal antibody each", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86376", "description": "Microsomal antibody each", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714357" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 18.92, "providers": [ { "billed_charge": 171, "npi": [ 1861506560 ] } ] }, { "allowed_amount": 14.55, "providers": [ { "billed_charge": 93.29, "npi": [ 1932184322 ] }, { "billed_charge": 96, "npi": [ 1710064811 ] } ] } ] } ] }, { "name": "Syphilis test non-trep qual", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86592", "description": "Syphilis test non-trep qual", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 4.27, "providers": [ { "billed_charge": 45.93, "npi": [ 1932166386 ] }, { "billed_charge": 40.95, "npi": [ 1265418669 ] }, { "billed_charge": 40.95, "npi": [ 1881679751 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Syphilis test non-trep quant", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86593", "description": "Syphilis test non-trep quant", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 4.4, "providers": [ { "billed_charge": 45.93, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Lyme disease antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86618", "description": "Lyme disease antibody", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 17.03, "providers": [ { "billed_charge": 214.84, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Hep b core antibody total", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86704", "description": "Hep b core antibody total", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 12.05, "providers": [ { "billed_charge": 114.86, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Hep b surface antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86706", "description": "Hep b surface antibody", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 10.74, "providers": [ { "billed_charge": 105.38, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Hepatitis a antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86708", "description": "Hepatitis a antibody", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 12.39, "providers": [ { "billed_charge": 132.42, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Treponema pallidum", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86780", "description": "Treponema pallidum", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 13.24, "providers": [ { "billed_charge": 114.86, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Thyroglobulin antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86800", "description": "Thyroglobulin antibody", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 196, "providers": [ { "billed_charge": 196, "npi": [ 1366515488 ] } ] }, { "allowed_amount": 15.91, "providers": [ { "billed_charge": 102.01, "npi": [ 1932184322 ] } ] } ] } ] }, { "name": "Hepatitis c ab test", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86803", "description": "Hepatitis c ab test", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 14.27, "providers": [ { "billed_charge": 174.3, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Rbc antibody screen", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86850", "description": "Rbc antibody screen", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 12.7, "providers": [ { "billed_charge": 198, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Blood typing serologic abo", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86900", "description": "Blood typing serologic abo", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 7.77, "providers": [ { "billed_charge": 179, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Blood typing serologic rh(d)", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "86901", "description": "Blood typing serologic rh(d)", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 7.77, "providers": [ { "billed_charge": 172, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Culture othr specimn aerobic", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87070", "description": "Culture othr specimn aerobic", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714755" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 11.21, "providers": [ { "billed_charge": 230, "npi": [ 1396765681 ] } ] } ] } ] }, { "name": "Cultr bacteria except blood", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87075", "description": "Cultr bacteria except blood", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714755" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 12.31, "providers": [ { "billed_charge": 277.25, "npi": [ 1396765681 ] } ] } ] } ] }, { "name": "Culture aerobic identify", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87077", "description": "Culture aerobic identify", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714755" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 21.01, "providers": [ { "billed_charge": 260.5, "npi": [ 1396765681 ] } ] } ] } ] }, { "name": "Urine culture/colony count", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87086", "description": "Urine culture/colony count", "allowed_amounts": [ { "tin": { "type": "ein", "value": "223137283" }, "billing_class": "professional", "payments": [ { "allowed_amount": 8.07, "providers": [ { "billed_charge": 72.98, "npi": [ 1841236684 ] }, { "billed_charge": 72.98, "npi": [ 1609812445 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Urine bacteria culture", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87088", "description": "Urine bacteria culture", "allowed_amounts": [ { "tin": { "type": "ein", "value": "431039532" }, "billing_class": "professional", "payments": [ { "allowed_amount": 8.09, "providers": [ { "billed_charge": 39.19, "npi": [ 1609812445 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Dna/rna amplified probe", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87150", "description": "Dna/rna amplified probe", "allowed_amounts": [ { "tin": { "type": "ein", "value": "770465765" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 45.62, "providers": [ { "billed_charge": 770, "npi": [ 1871543215 ] } ] } ] } ] }, { "name": "Microbe susceptible mic", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87186", "description": "Microbe susceptible mic", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714755" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 22.49, "providers": [ { "billed_charge": 411.5, "npi": [ 1396765681 ] } ] } ] } ] }, { "name": "Smear gram stain", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87205", "description": "Smear gram stain", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714755" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 5.55, "providers": [ { "billed_charge": 103.5, "npi": [ 1396765681 ] } ] } ] } ] }, { "name": "Hepatitis b surface ag ia", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87340", "description": "Hepatitis b surface ag ia", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 10.33, "providers": [ { "billed_charge": 101.34, "npi": [ 1932166386 ] }, { "billed_charge": 45.45, "npi": [ 1881679751 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Hiv-1 ag w/hiv-1 & hiv-2 ab", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87389", "description": "Hiv-1 ag w/hiv-1 & hiv-2 ab", "allowed_amounts": [ { "tin": { "type": "ein", "value": "840611484" }, "billing_class": "professional", "payments": [ { "allowed_amount": 24.08, "providers": [ { "billed_charge": 176.4, "npi": [ 1265418669 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Chylmd trach dna amp probe", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87491", "description": "Chylmd trach dna amp probe", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 35.09, "providers": [ { "billed_charge": 129.15, "npi": [ 1295726032 ] }, { "billed_charge": 61.5, "npi": [ 1538144910 ] }, { "billed_charge": 97.82, "npi": [ 1881679751 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Influenza dna amp probe", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87502", "description": "Influenza dna amp probe", "allowed_amounts": [ { "tin": { "type": "ein", "value": "410834920" }, "billing_class": "professional", "payments": [ { "allowed_amount": 95.8, "providers": [ { "billed_charge": 401.99, "npi": [ 1780621904 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "N.gonorrhoeae dna amp prob", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87591", "description": "N.gonorrhoeae dna amp prob", "allowed_amounts": [ { "tin": { "type": "ein", "value": "133757370" }, "billing_class": "professional", "payments": [ { "allowed_amount": 35.09, "providers": [ { "billed_charge": 129.15, "npi": [ 1295726032 ] }, { "billed_charge": 61.5, "npi": [ 1538144910 ] }, { "billed_charge": 97.82, "npi": [ 1881679751 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Hpv high-risk types", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87624", "description": "Hpv high-risk types", "allowed_amounts": [ { "tin": { "type": "ein", "value": "223137283" }, "billing_class": "professional", "payments": [ { "allowed_amount": 35.09, "providers": [ { "billed_charge": 157.21, "npi": [ 1841236684 ] }, { "billed_charge": 169.47, "npi": [ 1255314704 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Resp virus 3-5 targets", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87631", "description": "Resp virus 3-5 targets", "allowed_amounts": [ { "tin": { "type": "ein", "value": "020222215" }, "billing_class": "professional", "payments": [ { "allowed_amount": 142.63, "providers": [ { "billed_charge": 742, "npi": [ 1093787384 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Rsv dna/rna amp probe", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87634", "description": "Rsv dna/rna amp probe", "allowed_amounts": [ { "tin": { "type": "ein", "value": "410834920" }, "billing_class": "professional", "payments": [ { "allowed_amount": 70.2, "providers": [ { "billed_charge": 280.6, "npi": [ 1780621904 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Trichomonas vaginalis amplif", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87661", "description": "Trichomonas vaginalis amplif", "allowed_amounts": [ { "tin": { "type": "ein", "value": "382084239" }, "billing_class": "professional", "payments": [ { "allowed_amount": 35.09, "providers": [ { "billed_charge": 208.08, "npi": [ 1932166386 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Strep a assay w/optic", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "87880", "description": "Strep a assay w/optic", "allowed_amounts": [ { "tin": { "type": "ein", "value": "770465765" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 21.49, "providers": [ { "billed_charge": 536, "npi": [ 1871543215 ] } ] }, { "allowed_amount": 16.53, "providers": [ { "billed_charge": 45, "npi": [ 1245277631 ] } ] } ] } ] }, { "name": "Cytopath cell enhance tech", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "88112", "description": "Cytopath cell enhance tech", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 79.86, "providers": [ { "billed_charge": 263, "npi": [ 1518104199 ] } ] } ] } ] }, { "name": "Cytopath c/v thin layer", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "88142", "description": "Cytopath c/v thin layer", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714755" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 208.5, "providers": [ { "billed_charge": 208.5, "npi": [ 1396765681 ] } ] } ] } ] }, { "name": "Cytopath c/v auto fluid redo", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "88175", "description": "Cytopath c/v auto fluid redo", "allowed_amounts": [ { "tin": { "type": "ein", "value": "223137283" }, "billing_class": "professional", "payments": [ { "allowed_amount": 26.61, "providers": [ { "billed_charge": 131.73, "npi": [ 1841236684 ] }, { "billed_charge": 128.53, "npi": [ 1255314704 ] } ] } ], "service_code": [ "81" ] } ] }, { "name": "Tissue exam by pathologist", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "88305", "description": "Tissue exam by pathologist", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 86.09, "providers": [ { "billed_charge": 825, "npi": [ 1518104199 ] }, { "billed_charge": 598, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 68.34, "providers": [ { "billed_charge": 210, "npi": [ 1669499414 ] } ], "billing_code_modifier": [ "26" ] } ] } ] }, { "name": "Immunohisto antb 1st stain", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "88342", "description": "Immunohisto antb 1st stain", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 133.47, "providers": [ { "billed_charge": 386, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Psytx w pt 45 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "90834", "description": "Psytx w pt 45 minutes", "allowed_amounts": [ { "tin": { "type": "ein", "value": "991363990" }, "billing_class": "professional", "payments": [ { "allowed_amount": 156.48, "providers": [ { "billed_charge": 175, "npi": [ 1437916186 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Psytx w pt 60 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "90837", "description": "Psytx w pt 60 minutes", "allowed_amounts": [ { "tin": { "type": "ein", "value": "991363990" }, "billing_class": "professional", "payments": [ { "allowed_amount": 225, "providers": [ { "billed_charge": 225, "npi": [ 1437916186 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Determine refractive state", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "92015", "description": "Determine refractive state", "allowed_amounts": [ { "tin": { "type": "ein", "value": "440605373" }, "billing_class": "professional", "payments": [ { "allowed_amount": 23.33, "providers": [ { "billed_charge": 127, "npi": [ 1851437719 ] } ] } ], "service_code": [ "19" ] } ] }, { "name": "Pure tone hearing test air", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "92551", "description": "Pure tone hearing test air", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714357" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 15.9, "providers": [ { "billed_charge": 58, "npi": [ 1861506560 ] } ] }, { "allowed_amount": 18.9, "providers": [ { "billed_charge": 66, "npi": [ 1780621904 ] } ] } ] } ] }, { "name": "Electrocardiogram tracing", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "93005", "description": "Electrocardiogram tracing", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 8.37, "providers": [ { "billed_charge": 195, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 512, "providers": [ { "billed_charge": 512, "npi": [ 1396765681 ] } ] }, { "allowed_amount": 12.7, "providers": [ { "billed_charge": 1810, "npi": [ 1871543215 ] } ] } ] } ] }, { "name": "Electrocardiogram report", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "93010", "description": "Electrocardiogram report", "allowed_amounts": [ { "tin": { "type": "ein", "value": "431560263" }, "billing_class": "professional", "payments": [ { "allowed_amount": 11.23, "providers": [ { "billed_charge": 28, "npi": [ 1245277631 ] } ] } ], "service_code": [ "21" ] } ] }, { "name": "Tte w/doppler complete", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "93306", "description": "Tte w/doppler complete", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 239.2, "providers": [ { "billed_charge": 2387, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 344.7, "providers": [ { "billed_charge": 12065, "npi": [ 1871543215 ] } ] } ] } ] }, { "name": "Brief emotional/behav assmt", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "96127", "description": "Brief emotional/behav assmt", "allowed_amounts": [ { "tin": { "type": "ein", "value": "410834920" }, "billing_class": "professional", "payments": [ { "allowed_amount": 6.14, "providers": [ { "billed_charge": 24, "npi": [ 1780621904 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Chemo hormon antineopl sq/im", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "96402", "description": "Chemo hormon antineopl sq/im", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 46.79, "providers": [ { "billed_charge": 392, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Therapeutic exercises", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "97110", "description": "Therapeutic exercises", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 169, "providers": [ { "billed_charge": 169, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 27.02, "providers": [ { "billed_charge": 92, "npi": [ 1396704094 ] } ] } ] } ] }, { "name": "Neuromuscular reeducation", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "97112", "description": "Neuromuscular reeducation", "allowed_amounts": [ { "tin": { "type": "ein", "value": "621707893" }, "billing_class": "professional", "payments": [ { "allowed_amount": 39.28, "providers": [ { "billed_charge": 107, "npi": [ 1396704094 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "97162", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "97162", "description": "97162", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 404, "providers": [ { "billed_charge": 404, "npi": [ 1720159338 ] }, { "billed_charge": 404, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Visual acuity screen", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99173", "description": "Visual acuity screen", "allowed_amounts": [ { "tin": { "type": "ein", "value": "410834920" }, "billing_class": "professional", "payments": [ { "allowed_amount": 3.99, "providers": [ { "billed_charge": 17, "npi": [ 1780621904 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Office/outpatient visit new", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99202", "description": "Office/outpatient visit new", "allowed_amounts": [ { "tin": { "type": "ein", "value": "020222215" }, "billing_class": "professional", "payments": [ { "allowed_amount": 95.71, "providers": [ { "billed_charge": 231, "npi": [ 1093787384 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Office/outpatient visit new", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99203", "description": "Office/outpatient visit new", "allowed_amounts": [ { "tin": { "type": "ein", "value": "204881619" }, "billing_class": "professional", "payments": [ { "allowed_amount": 138.56, "providers": [ { "billed_charge": 254, "npi": [ 1669499414 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Office/outpatient visit new", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99204", "description": "Office/outpatient visit new", "allowed_amounts": [ { "tin": { "type": "ein", "value": "061483728" }, "billing_class": "professional", "payments": [ { "allowed_amount": 233.91, "providers": [ { "billed_charge": 440, "npi": [ 1801826680 ] } ] }, { "allowed_amount": 212.81, "providers": [ { "billed_charge": 358, "npi": [ 1992941108 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Office/outpatient visit est", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99212", "description": "Office/outpatient visit est", "allowed_amounts": [ { "tin": { "type": "ein", "value": "311322863" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 190, "providers": [ { "billed_charge": 190, "npi": [ 1124127683 ] } ] }, { "allowed_amount": 39.75, "providers": [ { "billed_charge": 189, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Office/outpatient visit est", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99213", "description": "Office/outpatient visit est", "allowed_amounts": [ { "tin": { "type": "ein", "value": "481202402" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 185, "providers": [ { "billed_charge": 185, "npi": [ 1649259656 ] } ] }, { "allowed_amount": 113.71, "providers": [ { "billed_charge": 175.33333333333334, "npi": [ 1992941108 ] } ] }, { "allowed_amount": 118.11, "providers": [ { "billed_charge": 383, "npi": [ 1780621904 ] } ] }, { "allowed_amount": 110.48, "providers": [ { "billed_charge": 144, "npi": [ 1245277631 ] } ] }, { "allowed_amount": 121.03, "providers": [ { "billed_charge": 247, "npi": [ 1093787384 ] } ] } ] } ] }, { "name": "Office/outpatient visit est", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99214", "description": "Office/outpatient visit est", "allowed_amounts": [ { "tin": { "type": "ein", "value": "020442645" }, "billing_class": "professional", "payments": [ { "allowed_amount": 172.2, "providers": [ { "billed_charge": 325, "npi": [ 1144275389 ] } ] }, { "allowed_amount": 178.78, "providers": [ { "billed_charge": 280, "npi": [ 1801826680 ] } ] }, { "allowed_amount": 167.81, "providers": [ { "billed_charge": 539, "npi": [ 1780621904 ] } ] }, { "allowed_amount": 172.2, "providers": [ { "billed_charge": 325, "npi": [ 1144275389 ] } ] }, { "allowed_amount": 178.78, "providers": [ { "billed_charge": 280, "npi": [ 1801826680 ] } ] }, { "allowed_amount": 162.29, "providers": [ { "billed_charge": 236, "npi": [ 1992941108 ] } ] }, { "allowed_amount": 83.9, "providers": [ { "billed_charge": 539, "npi": [ 1780621904 ] } ] }, { "allowed_amount": 157.84, "providers": [ { "billed_charge": 238.5, "npi": [ 1245277631 ] } ] }, { "allowed_amount": 159.2, "providers": [ { "billed_charge": 197, "npi": [ 1306089206 ] } ] }, { "allowed_amount": 164.29, "providers": [ { "billed_charge": 249, "npi": [ 1851437719 ] } ] }, { "allowed_amount": 167.81, "providers": [ { "billed_charge": 458, "npi": [ 1780621904 ] } ] }, { "allowed_amount": 162.29, "providers": [ { "billed_charge": 274, "npi": [ 1992941108 ] } ] } ], "service_code": [ "10" ] } ] }, { "name": "Initial hospital care", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99223", "description": "Initial hospital care", "allowed_amounts": [ { "tin": { "type": "ein", "value": "431560263" }, "billing_class": "professional", "payments": [ { "allowed_amount": 189.9, "providers": [ { "billed_charge": 333, "npi": [ 1245277631 ] } ] } ], "service_code": [ "21" ] } ] }, { "name": "Subsequent hospital care", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99232", "description": "Subsequent hospital care", "allowed_amounts": [ { "tin": { "type": "ein", "value": "431560263" }, "billing_class": "professional", "payments": [ { "allowed_amount": 85.66, "providers": [ { "billed_charge": 134, "npi": [ 1245277631 ] } ] } ], "service_code": [ "21" ] } ] }, { "name": "Hospital discharge day", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99239", "description": "Hospital discharge day", "allowed_amounts": [ { "tin": { "type": "ein", "value": "431560263" }, "billing_class": "professional", "payments": [ { "allowed_amount": 127.94, "providers": [ { "billed_charge": 199, "npi": [ 1245277631 ] } ] } ], "service_code": [ "21" ] } ] }, { "name": "Emergency dept visit", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99285", "description": "Emergency dept visit", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 220.47, "providers": [ { "billed_charge": 2865, "npi": [ 1720159338 ] } ] }, { "allowed_amount": 4350.5, "providers": [ { "billed_charge": 4350.5, "npi": [ 1396765681 ] } ] }, { "allowed_amount": 210.17, "providers": [ { "billed_charge": 1479, "npi": [ 1447221056 ] } ] }, { "allowed_amount": 241.76, "providers": [ { "billed_charge": 15270, "npi": [ 1871543215 ] } ] }, { "allowed_amount": 235.1, "providers": [ { "billed_charge": 521, "npi": [ 1245277631 ] } ] }, { "allowed_amount": 249.84, "providers": [ { "billed_charge": 984, "npi": [ 1043917180 ] } ] } ] } ] }, { "name": "Prev visit est age 5-11", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99393", "description": "Prev visit est age 5-11", "allowed_amounts": [ { "tin": { "type": "ein", "value": "340714357" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 69, "providers": [ { "billed_charge": 69, "npi": [ 1861506560 ] } ] }, { "allowed_amount": 135.36, "providers": [ { "billed_charge": 436, "npi": [ 1780621904 ] } ] } ] } ] }, { "name": "Prev visit est age 18-39", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99395", "description": "Prev visit est age 18-39", "allowed_amounts": [ { "tin": { "type": "ein", "value": "542129332" }, "billing_class": "professional", "payments": [ { "allowed_amount": 162.04, "providers": [ { "billed_charge": 334, "npi": [ 1871572032 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Preventive counseling indiv", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "99404", "description": "Preventive counseling indiv", "allowed_amounts": [ { "tin": { "type": "ein", "value": "061483728" }, "billing_class": "professional", "payments": [ { "allowed_amount": 148.46, "providers": [ { "billed_charge": 300, "npi": [ 1801826680 ] } ] } ], "service_code": [ "11" ] } ] }, { "name": "Tc99m sulfur colloid", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "A9541", "description": "Tc99m sulfur colloid", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 387.68, "providers": [ { "billed_charge": 387.68, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Gadobutrol injection", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "A9585", "description": "Gadobutrol injection", "allowed_amounts": [ { "tin": { "type": "ein", "value": "770465765" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 36.4, "providers": [ { "billed_charge": 410, "npi": [ 1871543215 ] } ] } ] } ] }, { "name": "Hospital observation per hr", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "G0378", "description": "Hospital observation per hr", "allowed_amounts": [ { "tin": { "type": "ein", "value": "770465765" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 18193.5, "providers": [ { "billed_charge": 18193.5, "npi": [ 1871543215 ] } ] } ] } ] }, { "name": "Ondansetron hcl injection", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "J2405", "description": "Ondansetron hcl injection", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 0.47, "providers": [ { "billed_charge": 25.41, "npi": [ 1720159338 ] }, { "billed_charge": 23.52, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Inj, propofol, 10 mg", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "J2704", "description": "Inj, propofol, 10 mg", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 4.095, "providers": [ { "billed_charge": 68, "npi": [ 1518104199 ] } ] }, { "allowed_amount": 1.76, "providers": [ { "billed_charge": 31.72, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Zoledronic acid 1mg", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "J3489", "description": "Zoledronic acid 1mg", "allowed_amounts": [ { "tin": { "type": "ein", "value": "316402480" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 26.42, "providers": [ { "billed_charge": 243.04, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Normal saline solution infus", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "J7030", "description": "Normal saline solution infus", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 2.59, "providers": [ { "billed_charge": 184, "npi": [ 1518104199 ] }, { "billed_charge": 89.35, "npi": [ 1720159338 ] } ] } ] } ] }, { "name": "Normal saline solution infus", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "J7040", "description": "Normal saline solution infus", "allowed_amounts": [ { "tin": { "type": "ein", "value": "263536780" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 1.68, "providers": [ { "billed_charge": 146, "npi": [ 1518104199 ] } ] } ] } ] }, { "name": "L1830", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "L1830", "description": "L1830", "allowed_amounts": [ { "tin": { "type": "ein", "value": "630845288" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 191.5, "providers": [ { "billed_charge": 191.5, "npi": [ 1447221056 ] } ] } ] } ] }, { "name": "Locm 200-299mg/ml iodine,1ml", "billing_code_type": "CPT", "billing_code_type_version": "2026-07-26", "billing_code": "Q9966", "description": "Locm 200-299mg/ml iodine,1ml", "allowed_amounts": [ { "tin": { "type": "ein", "value": "020260334" }, "billing_class": "institutional", "payments": [ { "allowed_amount": 1.04, "providers": [ { "billed_charge": 39.58, "npi": [ 1033118104 ] } ] } ] } ] } ] }